Individual provider Active NPI

Jennifer Fishbein, M.D.

  • Internal Medicine Physician
  • Bedford, NH
National Provider Identifier
1366733982
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16611 Issued in NH
Practice address
188 Route 101
Bedford, NH 03110-5420
Phone
(603) 314-4700
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16611 NH Primary

Addresses

Primary practice location

188 Route 101
Bedford, NH 03110-5420

Mailing address

188 Route 101
Bedford, NH 03110-5420
Phone (603) 314-4700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_gsim@gohnh.allscriptsdirect.net Direct

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
I20150129001442 NH Practitioner - Internal Medicine 0244552511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Hampstead Family Medicine Inc 30 clinicians

Practice addresses (Care Compare)

207 Stage Rd
Hampstead, NH 03841-2224
Phone 6033295222216

Hospital & facility affiliations

  • Vna Home Health and Hospice Services, Inc Home health agency, Manchester, NH, CCN 307003
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16611NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Aug 25, 2014 Accepting new patients
Hospital Medicine Services of NH, LLC CurrentSince Feb 3, 2025 Accepting new patients
Greater Hampstead Family Medicine, Inc. CurrentSince Sep 11, 2024 Accepting new patients
Catholic Medical Center CurrentSince Jul 30, 2015 Accepting new patients
Catholic Medical Center Internal Medicine CurrentSince Aug 25, 2014 Accepting new patients

Locations

188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700

20 Washington Pl
Ste 3
Bedford, NH 03110
Phone (603) 622-2112

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

55 Bridge St
Manchester, NH 03101

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

195 McGregor St
Ste 310
Manchester, NH 03102

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1366733982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ROUTE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105420",
            "telephone_number": "603-314-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ROUTE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105420",
            "telephone_number": "603-314-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "16611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_gsim@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "188 Route 101",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031105420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.