Active NPI
Ivan Jambor, M.D., PH.D
- Diagnostic Radiology Physician
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22191
- Practice address
- 789 Central Ave
Dover, NH 03820-2526 - Phone
- (603) 516-1307
- NPI assigned
- May 2, 2016
- Reactivated
- Feb 8, 2017
- Last updated
- May 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22191 | NH | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 67548 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | A203044 | CA |
Addresses
Primary practice location
789 Central Ave
Dover, NH 03820-2526
Mailing address
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, IN, MA, CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Endicott St
Danvers, MA 01923-3623
Phone (978) 354-4181
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
2110 Idaho St
Elko, NV 89801-2625
Phone (775) 621-5800
30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100
480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 342-4386
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A203044 | CA | MD | Diagnostic Radiology Physician |
| 67548 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| High Desert Imaging LLC | Current | Accepting new patients | |
| Southern Indiana Radiological Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Seacoast Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Wentworth Douglass Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Sira Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northern Inyo Healthcare District | Current | Accepting new patients | |
| Tahoe Carson Radiology Loos Et Al LTD | Diagnostic Radiology | Current | Accepting new patients |
| Northern Inyo Healthcare District | Current | Accepting new patients |
Locations
150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136
429 S Landmark Ave
Bloomington, IN 47403
500 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-7676
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165
10 Members Way
Dover, NH 03820
Phone (603) 740-2307
2 Washington St
Ste 329
Dover, NH 03820
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
2874 N Carson St
Ste 300
Carson City, NV 89706
Phone (775) 445-5500
775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100
2110 Idaho St
Elko, NV 89801
Phone (775) 621-5800
Interoperability endpoints
- ijambor800068@direct.med.utah.edu
- jambor.ivan.wdh@direct.partners.masshiway.net
Organizations & group practices 11
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.
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH
-
- Diagnostic Radiology Physician
- Dover, NH
- NPI 1427020395
-
dba Northern Inyo Hospital
- Critical Access Hospital
- Bishop, CA
- NPI 1922198712
-
- Diagnostic Radiology Physician
- Bloomington, IN
- NPI 1558326124
-
- Diagnostic Radiology Physician
- Bloomington, IN
- NPI 1346205911
-
dba Tahoe Carson Radiology
- Diagnostic Radiology Physician
- Carson City, NV
- NPI 1902838352
CA
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
NH
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
Diagnostic Radiology
-
dba Northern Inyo Hospital
- Medicare Defined Swing Bed Hospital Unit
- Bishop, CA
- NPI 1669798815
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1356796981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-516-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMBOR",
"first_name": "IVAN",
"name_prefix": "Mr.",
"credential": "M.D., PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-02",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"deactivation_date": "2016-12-30",
"reactivation_date": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "22191",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "67548",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A203044",
"primary": false
}
],
"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 May 29, 2026; 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.