Organization Active NPI

Mana Medical Center LLC

  • Health Service Clinic/Center
  • Wolfeboro, NH
National Provider Identifier
1033055827
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MANA MEDICAL CENTER LLC
Practice address
591 Center Street
PO Box #1776
Wolfeboro, NH 03894-1776
Phone
(603) 515-1039
NPI assigned
Apr 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raquel Mahidashti, NP, DNP
Title
Owner, Sole Provider
Phone
(201) 663-3518

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Point of Service 305S00000X

Addresses

Primary practice location

591 Center Street
PO Box #1776
Wolfeboro, NH 03894-1776

Mailing address

PO Box 1776
Wolfeboro, NH 03894-1776
Phone (603) 515-1039

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1033055827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1776",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038941776",
            "telephone_number": "603-515-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 CENTER STREET",
            "address_2": "PO BOX #1776",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038941776",
            "telephone_number": "603-515-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "MAHIDASHTI",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER, SOLE PROVIDER",
        "authorized_official_telephone_number": "201-663-3518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP, DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.