NPIMap

Organization Active NPI

Manchester Urology Associates Professional Association

  • Urology Physician
  • Peterborough, NH
National Provider Identifier
1093480444
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATION
Practice address
452 Old Street Rd
Peterborough, NH 03458-1263
Phone
(603) 669-9200
Fax
(603) 836-1616
NPI assigned
Aug 9, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Ann Gilbert
Title
Practice Administrator
Phone
(603) 836-1590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

452 Old Street Rd
Peterborough, NH 03458-1263

Mailing address

4 Elliot Way Ste 200
Manchester, NH 03103-3553
Phone (603) 669-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000467 NH Part B Supplier - Clinic/Group Practice 6406877760 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portsmouth, NH; Peterborough, NH; Nashua, NH; Dover, NH; Derry, NH; Bedford, NH; Manchester, NH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Manchester Urology Assoc PA

Locations

10 Members Way
#402
Dover, NH 03820
Phone (603) 742-1444

121 Corporate Dr
Portsmouth, NH 03801
Phone (603) 740-5252

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1093480444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY STE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033553",
            "telephone_number": "603-669-9200",
            "fax_number": "603-669-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581263",
            "telephone_number": "603-669-9200",
            "fax_number": "603-836-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATION",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "603-836-1590"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.