Individual provider Active NPI

Matthew Benjamin Lipner

  • Dermatology Physician
  • Manchester, NH
National Provider Identifier
1235710831
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
33712 Issued in NH
Practice address
135 Hooksett Rd
Manchester, NH 03104-2641
Phone
(603) 441-1076
Fax
(603) 369-4663
NPI assigned
Apr 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 33712 NH Primary

Addresses

Primary practice location

135 Hooksett Rd
Manchester, NH 03104-2641

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (330) 947-6021

Other practice location 1

Grand Strand Medical Center
809 82nd Parkway
Myrtle Beach, SC 29572
Phone (843) 692-4403

Other practice location 2

176 S River Rd
Bedford, NH 03110-6925
Phone (603) 942-2003

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606001358 NH Practitioner - Dermatology 6709287048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

135 Hooksett Rd
Manchester, NH 03104-2641
Phone (603) 441-1076

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions416
Removal or shaving of skin growth31
Skin biopsy134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Dermatology LLC Dermatology CurrentSince Jul 14, 2025 Accepting new patients
Advanced Dermatology and Skin Cancer Center PastSince Jun 3, 2025 Accepting new patients

Locations

176 S River Rd
Bedford, NH 03110
Phone (603) 644-8334

1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635

135 Hooksett Rd
Manchester, NH 03104
Phone (603) 441-1076

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Interoperability endpoints

  • Direct secure messaging: mlipner155360@direct.unc.nchie.net

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 1

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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1235710831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "330-947-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HOOKSETT RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042641",
            "telephone_number": "603-441-1076",
            "fax_number": "603-369-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Grand Strand Medical Center",
            "address_2": "809 82nd Parkway",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "29572",
            "country_code": "US",
            "telephone_number": "843-692-4403",
            "fax_number": "843-692-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 S River Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106925",
            "country_code": "US",
            "telephone_number": "603-942-2003",
            "fax_number": "603-403-7809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPNER",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "33712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.