Individual provider Active NPI

Anthony G Haralabatos, NP

  • Family Nurse Practitioner
  • Salem, NH
National Provider Identifier
1174603401
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
071406-23 Issued in NH
Practice address
52 Stiles Rd Ste 110
Salem, NH 03079-4807
Phone
(781) 526-6447
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 071406-23 NH Primary
Nurse Practitioner 363L00000X 217496 MA

Addresses

Primary practice location

52 Stiles Rd Ste 110
Salem, NH 03079-4807

Mailing address

52 Stiles Rd Ste 110
Salem, NH 03079-4807
Phone (603) 685-4609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041102000734 MA Practitioner - Nurse Practitioner 6002878949 Reassigns benefits to 1 organization
I20160527001588 NH Practitioner - Nurse Practitioner 6002878949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

52 Stiles Rd
Suite 110
Salem, NH 03079-4807
Phone (603) 685-4609

59 Stiles Rd
Suite 104
Salem, NH 03079-5816

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
071406-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Emergency Associates, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Evercare Medical Associates CurrentSince Apr 18, 2016 Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

59 Stiles Rd
Ste 104
Salem, NH 03079
Phone (603) 685-4609

52 Stiles Rd
Ste 110
Salem, NH 03079
Phone (603) 685-4609

Interoperability endpoints

  • Direct secure messaging: anthony.haralabatos.1@13144.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13144/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1174603401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 STILES RD STE 110",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794807",
            "telephone_number": "603-685-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 STILES RD STE 110",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794807",
            "telephone_number": "781-526-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARALABATOS",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "071406-23",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "217496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.