Active NPI
Joseph Edward Fuller Jr., MD
- Family Medicine Physician
- Rochester, NH
National Provider Identifier
1376559351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6728
- Practice address
- 245 Rochester Hill Rd
Rochester, NH 03867-1775 - Phone
- (603) 335-2401
- NPI assigned
- Jul 31, 2006
- Last updated
- Feb 2, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6728 | NH | Primary |
Addresses
Primary practice location
245 Rochester Hill Rd
Rochester, NH 03867-1775
Mailing address
Rochester Hill Family Practice
Frisbie Memorial Hospital
Rochester, NH 03867
Phone (603) 335-2401
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001237197 | Medicaid | CT | |
| 2143993 | Other | CT | CONNECTICARE |
| 050298 | Other | CT | CONNECTICARE |
| 080121275 | Other | CT | RAILROAD MEDICARE |
| 0R0176 | Other | CT | HEALTHNET |
| P2877320 | Other | CT | OXFORD HEALTH PLANS |
| 010023719CT01 | Other | CT | ANTHEM BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080707000256 | NH | Practitioner - Family Practice | 3476590621 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Massachusetts Medical School, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Seacoast Community Health
Practice addresses (Care Compare)
311 Route 108
Somersworth, NH 03878
311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346
311 Route 108 100
Somersworth, NH 03878
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6728 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Seacoast Community Health | Past | Accepting new patients | |
| Frisbie Health Services | Past | Accepting new patients |
Interoperability endpoints
- joseph.fuller.1@28518.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Clinic/Center
- Rochester, NH
- NPI 1730121138
-
dba Families First Health & Support Center
- Federally Qualified Health Center (FQHC)
- Portsmouth, NH
- NPI 1114935871
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
-
dba Wentworth Home Care and Hospice, an Amedisys Partner
- Home Health Agency
- Somersworth, NH
- NPI 1568436194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1376559351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROCHESTER HILL FAMILY PRACTICE",
"address_2": "FRISBIE MEMORIAL HOSPITAL",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "03867",
"telephone_number": "603-335-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 ROCHESTER HILL RD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038671775",
"telephone_number": "603-335-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "6728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001237197",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "2143993",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "050298",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080121275",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0R0176",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2877320",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "010023719CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.