Organization Active NPI

Dover Internal and Geriatric Medicine, PLLC

  • Internal Medicine Physician
  • Dover, NH
National Provider Identifier
1255379194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5901 Issued in NH
Legal business name
DOVER INTERNAL AND GERIATRIC MEDICINE, PLLC
Practice address
801 Central Ave
Ste 2
Dover, NH 03820-2529
Phone
(603) 742-3666
Fax
(603) 742-6119
NPI assigned
Jun 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph Pagnotta
Title
Business Administrator
Phone
(603) 742-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 5901 NH Primary

Addresses

Primary practice location

801 Central Ave
Ste 2
Dover, NH 03820-2529

Mailing address

801 Central Ave
Ste 2
Dover, NH 03820-2529
Phone (603) 742-3666

National Provider Directory

National Provider Directory

Locations

801 Central Ave
Ste 1
Dover, NH 03820
Phone (603) 740-9713

801 Central Ave
Ste 2
Dover, NH 03820
Phone (602) 742-5719

Practitioners & affiliated clinicians

Practitioners 2

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255379194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CENTRAL AVE",
            "address_2": "STE 2",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202529",
            "telephone_number": "603-742-3666",
            "fax_number": "603-742-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CENTRAL AVE",
            "address_2": "STE 2",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202529",
            "telephone_number": "603-742-3666",
            "fax_number": "603-742-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER INTERNAL AND GERIATRIC MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGNOTTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "603-742-3666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "5901",
            "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 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.