Individual provider Active NPI

Elizabeth G Tseytlin, DO

  • Internal Medicine Physician
  • Manchester, NH
National Provider Identifier
1427404177
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20764 Issued in NH
Practice address
445 Cypress St Ste 5
Manchester, NH 03103-3600
Phone
(603) 663-8200
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 20764 NH Primary

Addresses

Primary practice location

445 Cypress St Ste 5
Manchester, NH 03103-3600

Mailing address

445 Cypress St Ste 5
Manchester, NH 03103-3600
Phone (603) 663-8200

Other identifiers 1

IdentifierTypeStateIssuer
3124090MedicaidNH

Other names 1

  • Elizabeth J Gold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190924002401 PA Practitioner - Internal Medicine 8628308285 Reassigns benefits to 1 organization
I20201028000592 NH Practitioner - Internal Medicine 8628308285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

275 Mammoth Rd
Manchester, NH 03109-4133

445 Cypress St
Suite 5
Manchester, NH 03103-3600
Phone (603) 663-8200

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Dec 8, 2020 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 9, 2019 Accepting new patients
St Joseph Hospital of Nashua NH Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 9, 2019 Accepting new patients
Elliot Physicians Network Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Elliot Physicians Network Internal Medicine Past Accepting new patients

Locations

4 Elliot Way
Ste 105
Manchester, NH 03103
Phone (603) 626-5113

445 Cypress St
Ste 5
Manchester, NH 03103
Phone (603) 663-8200

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

460 Amherst St
Nashua, NH 03063
Phone (603) 577-8400

173 Daniel Webster Hwy
Nashua, NH 03060
Phone (603) 891-4400

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

3080 Hamilton Blvd
Ste 350
Allentown, PA 18103
Phone (484) 661-4650

Organizations & group practices 8

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 3

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1427404177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CYPRESS ST STE 5",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033600",
            "telephone_number": "603-663-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CYPRESS ST STE 5",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033600",
            "telephone_number": "603-663-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEYTLIN",
        "first_name": "ELIZABETH",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "20764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124090",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GOLD",
            "middle_name": "J",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.