Provider Demographics
NPI:1578507943
Name:NEW ENGLAND ORTHOPEDICS, INC
Entity type:Organization
Organization Name:NEW ENGLAND ORTHOPEDICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:INFANTOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-739-9838
Mailing Address - Street 1:220 TOLL GATE RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4418
Mailing Address - Country:US
Mailing Address - Phone:401-739-9838
Mailing Address - Fax:401-738-5669
Practice Address - Street 1:220 TOLL GATE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4418
Practice Address - Country:US
Practice Address - Phone:401-739-9838
Practice Address - Fax:401-738-5669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30011469Medicaid
RI617110OtherCIGNA
MA1539264Medicaid
RI5595439OtherAETNA/USHEALTHCARE
RI9009642Medicaid
RI9642-3OtherBLUE CROSS
RI200295OtherBLUE CHIP
MA98862001OtherNETWORK HEALTH
RI2963OtherNEIGHBORHOOD HEALTH
NH30011469Medicaid