NOVELLA INFUSION LLC
Complete NPI Record 1497364376
Internal Medicine in Merrimack, NH
Active since July 28, 2020CLIA Certified · 11 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Novella Infusion Llc (NPI 1497364376), an internal medicine organization in Merrimack, NH. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1497364376 Field 1/30
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/30
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/30
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: NOVELLA INFUSION LLC Field 4/30
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 1111B S GOVERNORS AVE STE 3887 Field 5/30
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DOVER Field 6/30
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: DE Field 7/30
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 199046903 Field 8/30
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/30
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6033196224 Field 10/30
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 297 DANIEL WEBSTER HWY STE 2 Field 11/30
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MERRIMACK Field 12/30
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NH Field 13/30
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 030544451 Field 14/30
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/30
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6038369869 Field 16/30
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: THORNDIKE Field 19/30
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ROBERT Field 20/30
- The first name of the authorized official.
- Authorized Official Middle Name: AMORY Field 21/30
- The middle name of the authorized official.
- Authorized Official Title or Position: MANAGER Field 22/30
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7817245916 Field 23/30
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QM1300X Field 24/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 25/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207R00000X Field 26/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 27/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/30
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 29/30
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 12
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
14 Tsienneto Rd Ste 200A
Location 1/12Derry, NH 03038-1647 · Phone (603) 836-9869
875 Greenland Rd Unit C3
Location 2/12Portsmouth, NH 03801-4163 · Phone (603) 836-9869
6 E Chestnut St Ste L01
Location 3/12Augusta, ME 04330-5764 · Phone (207) 747-1181 · Fax (207) 800-4548
963 Sabattus St Unit 3
Location 4/12Lewiston, ME 04240-3332 · Phone (207) 747-1181 · Fax (207) 800-4548
195 Mechanic St Ste 2
Location 5/12Lebanon, NH 03766-1545 · Phone (603) 836-9869 · Fax (603) 836-0118
160 S River Rd Ste 101A
Location 6/12Bedford, NH 03110-6927 · Phone (603) 836-9869 · Fax (603) 836-0118
120 Washington St Unit 101
Location 7/12Rochester, NH 03839-5534 · Phone (603) 836-9869 · Fax (603) 836-0118
111 New Hampshire Ave # 2
Location 8/12Portsmouth, NH 03801-2864 · Phone (603) 319-6224
171 Pleasant St Ste 201
Location 9/12Concord, NH 03301-2625 · Phone (603) 836-9869
14 Tsienneto Rd Ste 200
Location 10/12Derry, NH 03038-1647 · Phone (603) 836-9869
94 Auburn St Ste 203
Location 11/12Portland, ME 04103-2100 · Phone (603) 836-9869
9 Washington Pl Ste 201
Location 12/12Bedford, NH 03110-6750 · Phone (603) 836-9869
No registry entries match your active lookup criteria.
