Individual provider Active NPI

Marcelo Augusto Maiorano, FNP-C

  • Family Nurse Practitioner
  • Conway, NH
National Provider Identifier
1174803449
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
086726-23 Issued in NH
Practice address
298 White Mountain Hwy
Conway, NH 03818-4204
Phone
(603) 447-8900
NPI assigned
Aug 18, 2011
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 086726-23 NH Primary

Addresses

Primary practice location

298 White Mountain Hwy
Conway, NH 03818-4204

Mailing address

298 White Mountain Hwy
Conway, NH 03818-4204
Phone (603) 447-8900

Other practice location 1

19 Tacoma St
Worcester, MA 01605-3516
Phone (508) 852-1805

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016001908 NH Practitioner - Nurse Practitioner 9830544584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Mountain Community Health CenterGroup PAC ID 3870480304, 8 clinicians

Practice addresses (Care Compare)

298 White Mountain Hwy
Conway, NH 03818-4204
Phone (603) 447-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
White Mountain Community Health Center CurrentSince Sep 25, 2023 Accepting new patients
Northeastern Vermont Regional Hospital, Inc. PastSince Aug 27, 2023 Accepting new patients

Locations

298 White Mountain Hwy
Conway, NH 03818
Phone (603) 447-8900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/31136/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marcelo.maiorano.1@31136.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1174803449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 WHITE MOUNTAIN HWY",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184204",
            "telephone_number": "603-447-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 WHITE MOUNTAIN HWY",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184204",
            "telephone_number": "603-447-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Tacoma St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053516",
            "country_code": "US",
            "telephone_number": "508-852-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIORANO",
        "first_name": "MARCELO",
        "middle_name": "AUGUSTO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "086726-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

Verify at the official NPI Registry.