Organization Active NPI

Gateway Urology PA

  • Urology Physician
  • Dover, NH
National Provider Identifier
1104904309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GATEWAY UROLOGY PA
Practice address
17 Old Rollinsford Rd
Dover, NH 03820-2833
Phone
(603) 742-5011
Fax
(603) 742-3530
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sarah Reece
Title
Exec Sec
Phone
(603) 742-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X NH Primary

Addresses

Primary practice location

17 Old Rollinsford Rd
Dover, NH 03820-2833

Mailing address

17 Old Rollinsford Rd
Dover, NH 03820-2833
Phone (603) 742-5011

Other identifiers 1

IdentifierTypeStateIssuer
80001236MedicaidNH

National Provider Directory

National Provider Directory

Locations

17 Old Rollinsford Rd
Ste 3
Dover, NH 03820
Phone (603) 742-5011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104904309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD ROLLINSFORD RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202833",
            "telephone_number": "603-742-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD ROLLINSFORD RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202833",
            "telephone_number": "603-742-5011",
            "fax_number": "603-742-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "EXEC SEC",
        "authorized_official_telephone_number": "603-742-5011"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001236",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.