Coastal New Hampshire Neurosurgeons

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

COASTAL NEW HAMPSHIRE NEUROSURGEONS

Practice address

330 Borthwick Ave
Suite 108
Portsmouth, NH 03801-4174

Phone

(603) 433-4666

Fax

(603) 433-1338

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Suzette Profio

Title

Pracitice Manager

Phone

(603) 433-4666

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Coastal New Hampshie Neurosurgeons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal New Hampshie Neurosurgeons

  • Neurological Surgery Physician
  • Derry, NH
  • NPI 1043409006
  NPD tax ID

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235262510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 108",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-433-4666",
            "fax_number": "603-433-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE 108",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-433-4666",
            "fax_number": "603-433-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEW HAMPSHIRE NEUROSURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROFIO",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "PRACITICE MANAGER",
        "authorized_official_telephone_number": "603-433-4666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80009465",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Coakley
• Coastal Dental Associates, PLLC
• Coastal Family Nutrition
• Coastal General Surgical Associates, PC
• Coastal Nephrology & Hypertension PC
• Coastal Pediatrics
• Alexander Cobb
• Tyler Cobb
• Ashley Cochran, PA
• Jennifer G Cogan, LCMHC

• Neurological Surgery Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Neurological Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.