Active NPI
Gateway Urology PA
- Urology Physician
- Dover, NH
National Provider Identifier
1104904309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80001236 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
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.