Active NPI
Sanjay Gurung
- Athletic Trainer
- Manchester, NH
National Provider Identifier
1356800643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 09GGS98291
- Practice address
- 170 Conant St
Manchester, NH 03102-4308 - Phone
- (603) 851-8635
- NPI assigned
- Mar 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 09GGS98291 | NH | Primary |
Addresses
Primary practice location
170 Conant St
Manchester, NH 03102-4308
Mailing address
170 Conant St
Manchester, NH 03102-4308
Phone (603) 851-8635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09GGS98291 | NH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1356800643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 CONANT ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031024308",
"telephone_number": "603-851-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 CONANT ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031024308",
"telephone_number": "603-851-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURUNG",
"first_name": "SANJAY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "09GGS98291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.