Anthony J Aversa MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

6913 Issued in NH

Legal business name

ANTHONY J AVERSA MD

Doing business as

Dermatology Associates of Concord

Practice address

111 Loudon Rd
Concord, NH 03301-5605

Phone

(603) 224-2251

Fax

(603) 228-7047

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Joseph Aversa, MDNPI 1154309623

Title

Owner

Phone

(603) 224-2251

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dermatology Associates of Concord Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony J Aversa, M.D.

  • Specialist
  • Concord, NH
  • NPI 1154309623
  NPD Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386777407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LOUDON RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015605",
            "telephone_number": "603-224-2251",
            "fax_number": "603-228-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LOUDON RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015605",
            "telephone_number": "603-224-2251",
            "fax_number": "603-228-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J AVERSA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVERSA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-224-2251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NH",
            "license": "6913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0106867Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80006867",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HLTHCARE",
            "identifier": "AA25248",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justine Angus
• David Anibal, APRN
• Sujatha Anjaneyulu, DMD
• Annie E Casey Foundation (Casey Family Services)
• Archit Ansal, M.D.
• Anthony J Ladds DDS PLLC
• Anthony N Sacco OD PC
• Nicole Antinerella, DO
• Betty-Jane Anz, RN, BSN, CDE
• Apothecary Express LLC

• Dermatology Physician in Concord, NH
• Providers in Concord, NH by specialty
• Dermatology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.