Active NPI
Mitchell Ned Pivor, M.D.
- Pediatrics Physician
- Somersworth, NH
National Provider Identifier
1609988781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12809
- Practice address
- 311 Route 108
Somersworth, NH 03878-1522 - Phone
- (603) 749-2346
- Fax
- (603) 953-0066
- NPI assigned
- Aug 31, 2006
- Last updated
- Oct 18, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 12809 | NH | |
| Pediatrics Physician | 208000000X | 12809 | NH | Primary |
Addresses
Primary practice location
311 Route 108
Somersworth, NH 03878-1522
Mailing address
311 Route 108
Somersworth, NH 03878-1522
Phone (603) 749-2346
Other practice location 1
180 Farmington Rd
Rochester, NH 03867-4352
Phone (603) 335-4522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30205204 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12809 | NH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Seacoast Community Health | Past | Accepting new patients |
Interoperability endpoints
- mitchell.pivor.1@28518.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Families First Health & Support Center
- Federally Qualified Health Center (FQHC)
- Portsmouth, NH
- NPI 1114935871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1609988781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781522",
"telephone_number": "603-749-2346",
"fax_number": "603-953-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781522",
"telephone_number": "603-749-2346",
"fax_number": "603-953-0066"
}
],
"practiceLocations": [
{
"address_1": "180 Farmington Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NH",
"postal_code": "038674352",
"country_code": "US",
"telephone_number": "603-335-4522",
"fax_number": "603-335-8631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIVOR",
"first_name": "MITCHELL",
"middle_name": "NED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "NH",
"license": "12809",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "12809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30205204",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.