Northeast Endocrinology Consultants, Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036097180 Issued in IL

Legal business name

NORTHEAST ENDOCRINOLOGY CONSULTANTS, INC

Practice address

2222 Weber Rd
Crest Hill, IL 60403-0928

Phone

(815) 741-9714

Fax

(815) 744-5137

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Veena NadkarniNPI 1124090931

Title

Director

Phone

(815) 741-9714

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Northeast Endcrnlgy Cnsltnts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northeast Endocrinology

  • Specialist
  • Crest Hill, IL
  • NPI 1558576843
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veena Nadkarni, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Crest Hill, IL
  • NPI 1124090931
  Medicare reassignment Care Compare group NPD Authorized official
• Shwetha Manjunath, MD

  • Internal Medicine Physician
  • Crest Hill, IL
  • NPI 1750526471
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1982901211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030928",
            "telephone_number": "815-741-9714",
            "fax_number": "815-744-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030928",
            "telephone_number": "815-741-9714",
            "fax_number": "815-744-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ENDOCRINOLOGY CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "NADKARNI",
        "authorized_official_first_name": "VEENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-741-9714"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036097180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven W Neubauer, MD
• Lanchi Nguyen, PT
• Annette M Nigro, LCPC
• Andrea C. Noey, D.C.
• Northeast Endocrinology
• Olabisi Oluwatoyin Oduola, PMHNP
• Jeannine Therese Ogle, D.N.
• Daniel Pagel, DMD
• Michael Palmasani
• Nicole Marie Panozzo

• Endocrinology, Diabetes & Metabolism Physician in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.