Active NPI
Mana Medical Center LLC
- Health Service Clinic/Center
- Wolfeboro, NH
National Provider Identifier
1033055827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.