Center for Functional Medicine & Wellbeing LLC
NPI 1336764026ActiveOrganization· Preventive Medicine, Public Health & General Preventive Medicine· Portsmouth, NH
Preventive Medicine, Public Health & General Preventive Medicine in Portsmouth, New Hampshire, registered in NPPES in June 2020. The authorized official on file is Jeffrey Donatello, DO, Owner.
Overview
| NPI | 1336764026 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2020 |
| Last updated in NPPES | Jul 27, 2020 |
| Certified by provider | Jul 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preventive Medicine, Public Health & General Preventive Medicine Primary | 2083P0901X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Preventive Medicine, Public Health & General Preventive Medicine providers in Portsmouth
- 1629148911
All Preventive Medicine, Public Health & General Preventive Medicine providers in New Hampshire →