Jennifer M. Donofrio, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Manchester, NH
NPI 1215922604 · NPPES record last updated Aug 6, 2010
Key facts
- NPI
- 1215922604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 9693 (NH)
- Practice address
- 150 Tarrytown Rd
Manchester, NH 03103-2713 - Phone
- (603) 622-3162
- Fax
- (603) 622-8677
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Virginia Commonwealth University, School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Manchester Obstetrical Associates, PA
Practice addresses (Care Compare)
150 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 622-3162
Hospital & facility affiliations
- Elliot Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051207000723 | NH | Practitioner - Obstetrics/Gynecology | 8729009659 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9693 | NH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manchester Obstetrical Associates, PA | Obstetrics & Gynecology | Current |
Accepting new patients |
| Manchester Obstetrical Associates, P.a. | Current | Accepting new patients | |
| Elliot Hospital of the City of Manchester | Past | Accepting new patients |
Locations
77 Gilcreast Rd
Ste 1000
Londonderry, NH 03053
Phone (603) 622-3162
150 Tarrytown Rd
Manchester, NH 03103
Phone (603) 622-3162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9693 | NH | Yes |
Addresses
Primary practice location
150 Tarrytown Rd
Manchester, NH 03103-2713
Mailing address
150 Tarrytown Road
Manchester, NH 03103-2713
Phone (603) 622-3162
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30001529 | Medicaid | NH | |
| 5803202 | Other | NH | AETNA NON-HMO |
| 0107824Y0NH01 | Other | NH | ANTHEM |
Other providers in Manchester, NH
- Lindsey Donat
- Sophia Dongas
- Jessica Donigian
- Jayne C Donnelly
- Jonnica Donnelly
- Colleen Donohue
- Christi Donovan
- Dolores Donovan
- Kate Donovan
- Anna A Dore
All providers in Manchester, NH · Obstetrics & Gynecology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.