Provider Demographics
| NPI: | 1659555266 |
|---|---|
| Name: | IPC HOSPITALISTS OF NEW ENGLAND, P.C. |
| Entity Type: | Organization |
| Organization Name: | IPC HOSPITALISTS OF NEW ENGLAND, P.C. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | ADAM |
| Authorized Official - Middle Name: | D |
| Authorized Official - Last Name: | SINGER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 818-766-3502 |
| Mailing Address - Street 1: | 5870 HIATUS RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TAMARAC |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33321-6424 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 951-377-3012 |
| Mailing Address - Fax: | 855-560-7089 |
| Practice Address - Street 1: | 819 WORCESTER ST |
| Practice Address - Street 2: | SUITE 3 |
| Practice Address - City: | SPRINGFIELD |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 01151 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 413-543-6820 |
| Practice Address - Fax: | 413-543-7962 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-12-19 |
| Last Update Date: | 2018-07-16 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MA | 207Q00000X, 207R00000X, 208M00000X, 363A00000X, 363LF0000X | |
| 207Y00000X, 2080P0202X, 208100000X, 2084N0400X, 208G00000X, 363AM0700X, 363L00000X, 363LA2100X, 363LA2200X, 363LG0600X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | Group - Multi-Specialty | |
| No | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Cardiology | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
| No | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Group - Multi-Specialty | |
| No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty | |
| No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
| No | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | Group - Multi-Specialty |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care | Group - Multi-Specialty |
| No | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | Group - Multi-Specialty |
| No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |
| No | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NH | 30216422 | Medicaid | |
| MA | 9787763 | Medicaid | |
| NH | 000449202 | Medicare PIN | |
| MA | 0004492 | Medicare PIN | |
| MA | 9787763 | Medicaid |
