1. Home
  2. Directory
  3. Connecticut
  4. New London
  5. Physician Assistant
  6. NPI Profile

MATTHEW C MARCENELLE
NPI 1831906288
Physician Assistant - Medical in New London, CT

Active since December 18, 2024
31 MOHEGAN AVE, NEW LONDON, CT 06320(860) 444-8402 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About Matthew C Marcenelle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW C MARCENELLE (NPI 1831906288) is an individual medical provider in New London, Connecticut, licensed in Connecticut (7090) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1831906288
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMATTHEW C MARCENELLE
Location Address31 MOHEGAN AVENew London, CT 06320-8103
Mailing Address30 Charlton LnGroton, CT 06340-7706
Phone(860) 444-8402
Sole ProprietorNo
Enumeration DateDecember 18, 2024
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1831906288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 7090
31 MOHEGAN AVE, New London, CT 06320
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK RAFELDT MS, ATC, LAT
Specialist/Technologist (Athletic Trainer)
31 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 639-3270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Marcenelle's NPI number?

The NPI number for Matthew Marcenelle is 1831906288. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Matthew Marcenelle located?

Matthew Marcenelle practices at 31 Mohegan Ave, New London, CT 06320. The listed phone number is (860) 444-8402.

What is Matthew Marcenelle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Matthew Marcenelle was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.