Individual provider Active NPI

Matthew James Masewic, M.D.

  • Family Medicine Physician
  • Concord, NH
National Provider Identifier
1144248352
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12217 Issued in NH
Practice address
36 Clinton St
Concord, NH 03301-2359
Phone
(603) 271-5482
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 12217 NH
Family Medicine Physician 207Q00000X 12217 NH Primary

Addresses

Primary practice location

36 Clinton St
Concord, NH 03301-2359

Mailing address

171 Londonderry Tpke Unit 7
Hooksett, NH 03106-1977
Phone (603) 995-0925

Other identifiers 1

IdentifierTypeStateIssuer
30212950MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729001502 NH Practitioner - Family Practice 5799755369 Practice locations: Pelham, NH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Acorn Center, LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

171 Londonderry Tpke
Unit 7
Hooksett, NH 03106
Phone (603) 995-0925

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1144248352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LONDONDERRY TPKE UNIT 7",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061977",
            "telephone_number": "603-995-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CLINTON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012359",
            "telephone_number": "603-271-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEWIC",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NH",
            "license": "12217",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "12217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30212950",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.