New England Telemedicine PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEW ENGLAND TELEMEDICINE PA

Doing business as

Paramount Medical Supply

Practice address

98 Route 236
Suite #1
Kittery, ME 03904

Phone

(855) 275-9962

Fax

(207) 703-2781

NPI assigned

Sep 9, 2013

Last updated

Nov 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Trustin Roy Ennacheril, MD

Title

President/Ceo

Phone

(617) 780-8110

Specialties & licenses 3

Addresses

Other names 1

• Paramount Medical Supply Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1891120887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 ROUTE 236",
            "address_2": "SUITE #1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "03904",
            "telephone_number": "855-275-9962",
            "fax_number": "207-703-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 ROUTE 236",
            "address_2": "SUITE #1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "03904",
            "telephone_number": "855-275-9962",
            "fax_number": "207-703-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND TELEMEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "ENNACHERIL",
        "authorized_official_first_name": "TRUSTIN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "617-780-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paramount Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Mullally
• Thea Emogene Murphy, MSN, FNP-C
• Heidi A Nadeau, LMT
• Naval Health Clinic New England (Dod Portsmouth Kittery Pharmacy)
• New England Telemedicine PA (New England Telemedicine)
• Lawrence James Newman, LCPC, LADC
• Cuong Gia Nguyen, D.D.S.
• Reagan Nichols, OTR/L
• Kimberly M O'Connor, RPH
• Michael John O'Keefe Jr., NP-C

• Durable Medical Equipment & Medical Supplies in Kittery, ME
• Providers in Kittery, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.