Active NPI
Mathew Greenston, MD
- Emergency Medicine Physician
- Manchester, NH
National Provider Identifier
1558464370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 11246
- Practice address
- 100 McGregor St
CMC - Emergency Department
Manchester, NH 03102-3730 - Phone
- (603) 663-6478
- Fax
- (603) 926-2853
- NPI assigned
- Sep 7, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11246 | NH | Primary |
Addresses
Primary practice location
100 McGregor St
CMC - Emergency Department
Manchester, NH 03102-3730
Mailing address
100 McGregor St
Emergency Dept
Manchester, NH 03102-3730
Phone (603) 663-6472
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30206501 | Medicaid | NH | |
| 4129232 | Other | MVP | |
| 2130700 | Medicaid | MA | |
| 000000042678 | Other | BMC HEALTHNET PLAN | |
| AA79987 | Other | HARVARD PILGRIM | |
| 01Y003100NH03 | Other | NH | ANTHEM |
| 434911199 | Medicaid | ME | |
| P00384959 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite State Emergency Physicians PC | Past | Accepting new patients | |
| Borthwick Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Portsmouth Emergency Physicians PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Portsmouth, NH
- NPI 1891031506
-
- Emergency Medical Services (Emergency Medicine) Physician
- Manchester, NH
- NPI 1619038023
-
- Emergency Medical Services (Emergency Medicine) Physician
- Portsmouth, NH
- NPI 1710923511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1558464370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"address_2": "EMERGENCY DEPT",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023730",
"telephone_number": "603-663-6472",
"fax_number": "603-926-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"address_2": "CMC - EMERGENCY DEPARTMENT",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023730",
"telephone_number": "603-663-6478",
"fax_number": "603-926-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSTON",
"first_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "11246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30206501",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4129232",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2130700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000042678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA79987",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "01Y003100NH03",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "434911199",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00384959",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.