Active NPI
Aida Cerundolo, M.D.
- Emergency Medicine Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 11986
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756 - Phone
- (603) 650-7254
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11986 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-7254
Other practice location 1
1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 421-2220
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265497697 | Other | NH | ANTHEM BCBS |
| AA188476 | Other | NH | HARVARD PILGRIM HEALTHCARE |
| 110004423A | Medicaid | MA | |
| 30203570 | Medicaid | NH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331000421 | NH | Practitioner - Emergency Medicine | 9133111297 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Massachusetts Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alice Peck Day Memorial HospitalSt. Joseph Hospital of Nashua NH
Practice addresses (Care Compare)
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121
172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600
Hospital & facility affiliations
- St Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Emergency Medicine | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Merrimack Emergency Physicians | Past | Accepting new patients | |
| Borthwick Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Southcoast Hospitals Group, Inc | Past | Accepting new patients |
Locations
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996
600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
Interoperability endpoints
- acerundolo2759818@direct.bsmhealth.org
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
- acerundolo370009@direct.dartmouth-hitchcock.org
Organizations & group practices 18
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.
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
Emergency Medicine, NH
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1346456043
-
- Neurological Surgery Physician
- Lebanon, NH
- NPI 1649581232
-
- Rehabilitation Hospital Unit
- Nashua, NH
- NPI 1669462792
-
- Psychiatric Hospital Unit
- Nashua, NH
- NPI 1821616269
-
- Family Medicine Physician
- Lebanon, NH
- NPI 1073569810
-
- Urgent Care Clinic/Center
- Lebanon, NH
- NPI 1942002274
-
- Durable Medical Equipment & Medical Supplies
- Littleton, NH
- NPI 1174398846
Hospital & facility affiliations 2
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": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1265497697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "03756",
"telephone_number": "603-650-7254"
}
],
"practiceLocations": [
{
"address_1": "1 Parkland Dr",
"address_purpose": "LOCATION",
"city": "Derry",
"state": "NH",
"postal_code": "030382746",
"country_code": "US",
"telephone_number": "603-421-2220",
"fax_number": "603-421-2223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERUNDOLO",
"first_name": "AIDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "11986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "1265497697",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCARE",
"identifier": "AA188476",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110004423A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203570",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.