Healthcare Provider Details

I. General information

NPI: 1255783544
Provider Name (Legal Business Name): NAPA MEDICAL GROUP NEW ENGLAND PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MARSH BROOK DR STE 10
SOMERSWORTH NH
03878-6523
US

IV. Provider business mailing address

68 S SERVICE RD STE 350
MELVILLE NY
11747-2358
US

V. Phone/Fax

Practice location:
  • Phone: 603-749-7246
  • Fax: 603-749-2453
Mailing address:
  • Phone: 516-945-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MELISSA GRIMALDI
Title or Position: DIRECTOR OF ADMINISTRATIVE SERVICES
Credential:
Phone: 616-940-2662