| Northeast Medical Group, Pllc | |
|
5 Perryridge Rd Greenwich CT 06830-4608 | |
| (203) 384-3975 | |
| Not Available |
| Full Name | Northeast Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Perryridge Rd, Greenwich, Connecticut |
| Authorized Official Name and Position | Beata Bialczak (MANAGER) |
| Authorized Official Contact | 2033843975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Medical Group, Pllc Po Box 415126 Boston MA 02241-5126 Ph: (203) 384-3975 | Northeast Medical Group, Pllc 5 Perryridge Rd Greenwich CT 06830-4608 Ph: (203) 384-3975 |
| NPI Number | 1942526207 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 6204095201 |
|---|---|
| Medicare Enrollment ID | O20120313000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942526207 | NPI | - | NPPES |
| Provider Name | Craig M Mochson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639208069 PECOS PAC ID: 6800788407 Enrollment ID: I20040329000171 |
| Provider Name | Lisa Kurian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003876228 PECOS PAC ID: 8022056431 Enrollment ID: I20050418000488 |
| Provider Name | Kevin J Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023063849 PECOS PAC ID: 3577509645 Enrollment ID: I20050629000876 |
| Provider Name | Nicholas Tsamparlis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164515383 PECOS PAC ID: 4385667765 Enrollment ID: I20060111001061 |
| Provider Name | Romelle Maloney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245269091 PECOS PAC ID: 2668472309 Enrollment ID: I20070103000464 |
| Provider Name | Elyse Erlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376614750 PECOS PAC ID: 2163519109 Enrollment ID: I20071107000509 |
| Provider Name | Jill E Swartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699963538 PECOS PAC ID: 1254455785 Enrollment ID: I20100903000750 |
| Provider Name | Nancy Nash Cresap Higbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639472335 PECOS PAC ID: 4486837622 Enrollment ID: I20110324000678 |
| Provider Name | Yvonne Ankrah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912924762 PECOS PAC ID: 9537160676 Enrollment ID: I20110808000236 |
| Provider Name | Lady Paula Dejesus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558643221 PECOS PAC ID: 5193990521 Enrollment ID: I20111213000379 |
| Provider Name | Carlos I Mena-hurtado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205800273 PECOS PAC ID: 1951331032 Enrollment ID: I20120416000655 |
| Provider Name | Janel Elise L'official |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558592139 PECOS PAC ID: 4789832783 Enrollment ID: I20120917000800 |
| Provider Name | Brooke L Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730338039 PECOS PAC ID: 2860554367 Enrollment ID: I20121114000012 |
| Provider Name | Sarah Lambert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255587432 PECOS PAC ID: 1557494614 Enrollment ID: I20130325000387 |
| Provider Name | Christopher M Ingram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083630057 PECOS PAC ID: 4284628587 Enrollment ID: I20131203001330 |
| Provider Name | Pramod K Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588648851 PECOS PAC ID: 3173651759 Enrollment ID: I20140331000058 |
| Provider Name | Diana Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255300653 PECOS PAC ID: 0446487896 Enrollment ID: I20140707002047 |
| Provider Name | Mary Chandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871867333 PECOS PAC ID: 9638395288 Enrollment ID: I20140717001008 |
| Provider Name | Charu Ramchandani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831487321 PECOS PAC ID: 8022234269 Enrollment ID: I20140724002091 |
| Provider Name | Carmela Lovecchio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831401306 PECOS PAC ID: 3274753645 Enrollment ID: I20141007000892 |
| Provider Name | Franklin A Loria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497741235 PECOS PAC ID: 3375604515 Enrollment ID: I20170630000379 |
| Provider Name | Piyal Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609296383 PECOS PAC ID: 4183993421 Enrollment ID: I20170630000388 |
| Provider Name | Lauren Einfrank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427504331 PECOS PAC ID: 9032487921 Enrollment ID: I20170706000796 |
| Provider Name | Tao Du |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376704916 PECOS PAC ID: 2365600822 Enrollment ID: I20171010003332 |
| Provider Name | Sandy Cayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013318914 PECOS PAC ID: 4981925500 Enrollment ID: I20180629000431 |
| Provider Name | Kristin Leigh Casasanta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942469622 PECOS PAC ID: 5092983023 Enrollment ID: I20180822002053 |
| Provider Name | Arielle Ornstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811214026 PECOS PAC ID: 5496008542 Enrollment ID: I20181019001284 |
| Provider Name | Jessica Juhee Kim-vaghela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114334273 PECOS PAC ID: 1355694027 Enrollment ID: I20181025002405 |
| Provider Name | Francis J Neeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083685226 PECOS PAC ID: 3870634686 Enrollment ID: I20181026001602 |
| Provider Name | Anthony A Alleva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518938778 PECOS PAC ID: 7416098223 Enrollment ID: I20181031002403 |
| Provider Name | Gail E Fennell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053382978 PECOS PAC ID: 9436205432 Enrollment ID: I20181102001208 |
| Provider Name | Kristen Michele Woodard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063671394 PECOS PAC ID: 7810231529 Enrollment ID: I20181207000181 |
| Provider Name | Kristin E Sapanaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376897454 PECOS PAC ID: 2365786381 Enrollment ID: I20181207000463 |
| Provider Name | Natalya Teslya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922492479 PECOS PAC ID: 8628370582 Enrollment ID: I20181217002063 |
| Provider Name | Caren L Kurtz Goodman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205949427 PECOS PAC ID: 2466797774 Enrollment ID: I20181218001753 |
| Provider Name | Amy Elizabeth Cram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487861761 PECOS PAC ID: 6204171135 Enrollment ID: I20181221001373 |
| Provider Name | Kristen Ashley Mcginness |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649566092 PECOS PAC ID: 8022235316 Enrollment ID: I20190206001761 |
| Provider Name | Tamur Jehan Mueenuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548570393 PECOS PAC ID: 3779763719 Enrollment ID: I20190425002575 |
| Provider Name | Michelle Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891189015 PECOS PAC ID: 7416293964 Enrollment ID: I20191007002146 |
| Provider Name | Christine Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861028839 PECOS PAC ID: 9335556059 Enrollment ID: I20210325000811 |
| Provider Name | Thomas Pellechi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912077918 PECOS PAC ID: 2466428941 Enrollment ID: I20210910001435 |
| Provider Name | Marjorie Mathieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735337 PECOS PAC ID: 3274875646 Enrollment ID: I20211004000415 |
| Provider Name | Danielle Rizzini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124523071 PECOS PAC ID: 9133465677 Enrollment ID: I20220628000365 |
| Provider Name | Mikail Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124529953 PECOS PAC ID: 6406246305 Enrollment ID: I20230228002159 |
| Provider Name | John Howard Bradford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508971003 PECOS PAC ID: 8426135724 Enrollment ID: I20230623001088 |
| Provider Name | Nicole Torres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457711913 PECOS PAC ID: 1355649062 Enrollment ID: I20231130003178 |
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