Individual provider Active NPI

Joseph Peter Cunniff, M.D.

  • Internal Medicine Physician
  • Londonderry, NH
National Provider Identifier
1386615698
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8074 Issued in NH
Practice address
41 Buttrick Rd
Londonderry, NH 03053-3367
Phone
(603) 434-1919
Fax
(603) 434-7346
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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 8074 NH Primary

Addresses

Primary practice location

41 Buttrick Rd
Londonderry, NH 03053-3367

Mailing address

41 Buttrick Rd
Londonderry, NH 03053-3367
Phone (603) 434-1919

Other identifiers 1

IdentifierTypeStateIssuer
80000174MedicaidNH

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
I20050913001200 NH Practitioner - Internal Medicine 4981676111 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Londonderry Internal Medicine Associates, P.C. Internal Medicine Current Accepting new patients
Elliot Professional Services Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

41 Buttrick Rd
Unit 5
Londonderry, NH 03053
Phone (317) 753-5117

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1386615698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BUTTRICK RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533367",
            "telephone_number": "603-434-1919",
            "fax_number": "603-434-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BUTTRICK RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533367",
            "telephone_number": "603-434-1919",
            "fax_number": "603-434-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNIFF",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "8074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000174",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.