Individual provider Active NPI

Anthony J Correnti, M.D.

  • Ophthalmology Physician
  • Manchester, NH
National Provider Identifier
1336261577
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14338 Issued in NH
Practice address
764 2ND St # Sy
Manchester, NH 03102-5210
Phone
(603) 669-3925
Fax
(603) 669-0380
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14338 NH Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 14338 NH

Addresses

Primary practice location

764 2ND St # Sy
Manchester, NH 03102-5210

Mailing address

764 2ND St
Manchester, NH 03102-5210
Phone (603) 669-3925

Other practice location 1

25 Buttrick Rd Ste C3
Londonderry, NH 03053-3353
Phone (603) 432-8801

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
I20090812000934 NH Practitioner - Ophthalmology 1658471917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
NH Eye Associates PLLCGroup PAC ID 6608849823, 11 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

25 Buttrick Rd
Suite C3
Londonderry, NH 03053-3353
Phone (603) 669-3925

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14338NHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services CurrentSince May 15, 2023 Accepting new patients
NH Eye Associates PLLC Ophthalmology CurrentSince Jul 1, 2009 Accepting new patients
Retina Specialists of Alabama LLC Ophthalmology Past Accepting new patients
Amoskeag Health Past Accepting new patients
Pinnacle Rehabilitation Network LLC PastSince Jul 1, 2009 Accepting new patients

Locations

25 Buttrick Rd
Ste C3
Londonderry, NH 03053
Phone (603) 432-8801

764 2nd St
Manchester, NH 03102
Phone (603) 669-3925

1415 Elm St
Manchester, NH 03101
Phone (603) 669-3925

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1336261577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 2ND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025210",
            "telephone_number": "603-669-3925",
            "fax_number": "603-669-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 2ND ST # SY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025210",
            "telephone_number": "603-669-3925",
            "fax_number": "603-669-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Buttrick Rd Ste C3",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533353",
            "country_code": "US",
            "telephone_number": "603-432-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRENTI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "14338",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NH",
            "license": "14338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.