NPIMap

Organization Active NPI

Associated Radiologist,PA

  • Diagnostic Radiology Physician
  • Derry, NH
National Provider Identifier
1457310765
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ASSOCIATED RADIOLOGIST,PA
Practice address
6 Tsienneto Rd
Derry Imaging
Derry, NH 03038-0291
Phone
(603) 883-4636
Fax
(603) 883-6854
NPI assigned
Mar 23, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Mrs. Karen A Beaulieu, RTR,CT,RCC
Title
Office Manager
Phone
(603) 883-4636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

6 Tsienneto Rd
Derry Imaging
Derry, NH 03038-0291

Mailing address

PO Box 291
Hudson, NH 03051-0291
Phone (603) 883-4636

Other identifiers 1

IdentifierTypeStateIssuer
NH3590OtherNHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615000140 NH Part B Supplier - Clinic/Group Practice 7517901143 Receives reassigned benefits from 7 practitioners
Practice locations: Derry, NH

National Provider Directory

National Provider Directory

Locations

6 Tsienneto Rd
Ste 100LL
Derry, NH 03038
Phone 6035371363 ext. 3842

6 Tsienneto Rd
Londonderry, NH 03038
Phone (603) 421-9959

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1457310765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030510291",
            "telephone_number": "603-883-4636",
            "fax_number": "603-883-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "DERRY IMAGING",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030380291",
            "telephone_number": "603-883-4636",
            "fax_number": "603-883-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RADIOLOGIST,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-883-4636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RTR,CT,RCC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NH3590",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.