Healthcare Provider Details

I. General information

NPI: 1790699569
Provider Name (Legal Business Name): MICHAEL SCHADONE NRP, CPTC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 1ST AVE
WALTHAM MA
02451-1106
US

IV. Provider business mailing address

853 PUDDING HILL RD
HAMPTON CT
06247-1517
US

V. Phone/Fax

Practice location:
  • Phone: 800-446-6362
  • Fax:
Mailing address:
  • Phone: 401-569-4999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP0901590
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: