Organization Active NPI

New England Radiological Consortium, LLC

  • Diagnostic Radiology Physician
  • Hampton, NH
National Provider Identifier
1174414882
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEW ENGLAND RADIOLOGICAL CONSORTIUM, LLC
Practice address
998 Ocean Blvd
Hampton, NH 03842-1429
Phone
(757) 672-0297
NPI assigned
Jul 11, 2025
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Matthew Douglas Moore Sr., MDNPI 1649440959
Title
Owner, Authorized Official
Phone
(833) 821-3774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

998 Ocean Blvd
Hampton, NH 03842-1429

Mailing address

PO Box 3419
Indianapolis, IN 46206-3419
Phone (833) 821-3774

Other practice location 1

11 Whitehall Rd
Rochester, NH 03867-3297
Phone (804) 806-8552

Other practice location 2

1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 421-2327

Other practice location 3

111 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 779-2846

Other practice location 4

118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 505-4345

Other practice location 5

333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198
Phone (804) 806-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA, NH, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20251114002751 ME Part B Supplier - Clinic/Group Practice 4789175928 Receives reassigned benefits from 14 practitioners
Practice locations: Bremen, ME; Yarmouth, ME; Portland, ME; Kittery Point, ME; Freeport, ME; Farmington, ME; Falmouth, ME; Brunswick, ME…
O20251114003073 MA Part B Supplier - Clinic/Group Practice 4789175928 Receives reassigned benefits from 5 practitioners
Practice locations: Weymouth, MA; West Newton, MA; North Andover, MA; Newburyport, MA; Haverhill, MA
O20251115000222 NH Part B Supplier - Clinic/Group Practice 4789175928 Receives reassigned benefits from 16 practitioners
Practice locations: Stratham, NH; Waterville Valley, NH; Salem, NH; Rochester, NH; Portsmouth, NH; Newfields, NH; Hampton, NH; Hampstead, NH…
O20260601002504 VA Part B Supplier - Clinic/Group Practice 4789175928 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

104 Congress St
Ste 304
Portsmouth, NH 03801
Phone (603) 431-1773

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1174414882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3419",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063419",
            "telephone_number": "833-821-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 OCEAN BLVD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421429",
            "telephone_number": "757-672-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Whitehall Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038673297",
            "country_code": "US",
            "telephone_number": "804-806-8552",
            "fax_number": "833-839-1064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Parkland Dr",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030382746",
            "country_code": "US",
            "telephone_number": "603-421-2327",
            "fax_number": "603-421-2378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Franklin Health Cmns",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "049386144",
            "country_code": "US",
            "telephone_number": "207-779-2846",
            "fax_number": "207-779-2240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Northport Ave",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156009",
            "country_code": "US",
            "telephone_number": "207-505-4345",
            "fax_number": "207-505-4349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Borthwick Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014198",
            "country_code": "US",
            "telephone_number": "804-806-8552",
            "fax_number": "833-839-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ENGLAND RADIOLOGICAL CONSORTIUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "833-821-3774",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.