NPIMap

Organization Active NPI

Landmark Family Healthcare

  • Family Nurse Practitioner
  • Londonderry, NH
National Provider Identifier
1306006788
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LANDMARK FAMILY HEALTHCARE
Doing business as
Landmark Family Healthcare
Practice address
50 Nashua Rd
Suite 301
Londonderry, NH 03053-3400
Phone
(603) 425-6494
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Miss Jennifer Lynn Romboli
Title
Office Manager
Phone
(603) 425-6494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

50 Nashua Rd
Suite 301
Londonderry, NH 03053-3400

Mailing address

50 Nashua Rd
Suite 301
Londonderry, NH 03053-3400
Phone (603) 425-6494

Other names 1

  • Landmark Family Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000580 NH Part B Supplier - Clinic/Group Practice 8729012661 Receives reassigned benefits from 7 practitioners
Practice locations: Londonderry, NH

National Provider Directory

National Provider Directory
Tax ID family
Landmark Family Healthcare2 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.

Practitioners & affiliated clinicians

Practitioners 11

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1306006788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NASHUA RD",
            "address_2": "SUITE 301",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533400",
            "telephone_number": "603-425-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NASHUA RD",
            "address_2": "SUITE 301",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533400",
            "telephone_number": "603-425-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "ROMBOLI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-425-6494",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.