NPIMap

Organization Active NPI

Wentworth Douglass Hospital

  • Clinical Medical Laboratory
  • Dover, NH
National Provider Identifier
1235605429
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WENTWORTH DOUGLASS HOSPITAL
Practice address
10 Members Way
Dover, NH 03820-5933
Phone
(603) 740-2807
NPI assigned
Oct 16, 2018
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Joel Degenaars
Title
Executive Director of Finance
Phone
(603) 740-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

10 Members Way
Dover, NH 03820-5933

Mailing address

PO Box 412540
Boston, MA 02241-2540

Other practice location 1

67 Corporate Dr Bldg A
Portsmouth, NH 03801-2847
Phone (603) 610-8058

Other practice location 2

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-5807

Other practice location 3

701B Central Ave
Dover, NH 03820-3403
Phone (603) 610-8070

Other practice location 4

121 Corporate Dr Bldg C
Portsmouth, NH 03801-6895
Phone (603) 742-8787

Other practice location 5

150 Marketplace Blvd Unit 8B
Rochester, NH 03867-4387
Phone (603) 742-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000120 NH Part B Supplier - Clinic/Group Practice 9234047762 Receives reassigned benefits from 4 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, NH; Somersworth, NH; Rochester, NH; Portsmouth, NH; Lee, NH; Durham, NH

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0087106Wentworth Health Partners-Internal Medicine10 Members Way, 5TH Floor, Dover, NH 03820Certificate of waiverOct 2, 2027
30D0964153Wentworth Health Partners OB/GYN & Infertility67 Corporate Dr, Ste 300, BLDG a, Portsmouth, NH 03801Provider-performed microscopyAug 18, 2027
30D1096141Wentworth Douglass Professional Center - Lee65 Calef Hwy, Lee, NH 03861AccreditationFeb 13, 2028
30D2077188Wentworth Douglas Express Care Dover701B Central Ave, Dover, NH 03820AccreditationFeb 6, 2028
30D2161167Wentworth-Douglas Seacoast Cancer Center121 Corporate Dr, Portsmouth, NH 03801AccreditationFeb 6, 2028
30D2225015Wentworth-Douglas Hospital -67 Corporate Dr, Portsmouth, NH 03801Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Scott J Low DO17 organizations share this tax ID, including this one
Part of
Scott J Low DO

Other organizations with this tax ID 16

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

View all 16

Locations

121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787

150 Marketplace Blvd
Unit 8B
Rochester, NH 03867
Phone (603) 742-5252

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1235605429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412540",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-740-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Corporate Dr Bldg A",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038012847",
            "country_code": "US",
            "telephone_number": "603-610-8058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Calef Hwy",
            "address_purpose": "LOCATION",
            "city": "Lee",
            "state": "NH",
            "postal_code": "038616703",
            "country_code": "US",
            "telephone_number": "603-868-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701B Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203403",
            "country_code": "US",
            "telephone_number": "603-610-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Corporate Dr Bldg C",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038016895",
            "country_code": "US",
            "telephone_number": "603-742-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Marketplace Blvd Unit 8B",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038674387",
            "country_code": "US",
            "telephone_number": "603-742-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WENTWORTH DOUGLASS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "DEGENAARS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "603-740-2806"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.