Active NPI
Roger S. Frieden, MD
- Pediatrics Physician
- Manchester, NH
National Provider Identifier
1669462354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7807
- Practice address
- 275 Mammoth Rd
Suite 2
Manchester, NH 03109-4133 - Phone
- (603) 663-8300
- Fax
- (603) 663-8349
- NPI assigned
- Oct 25, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 7807 | NH | Primary |
Addresses
Primary practice location
275 Mammoth Rd
Suite 2
Manchester, NH 03109-4133
Mailing address
275 Mammoth Rd
Suite 2
Manchester, NH 03109-4133
Phone (603) 663-8300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2192432 | Other | NH | AETNA PIN |
| P674376 | Other | NH | OXFORD |
| 12-40727 | Other | NH | UHC PIN |
| 406446 | Other | NH | TUFTS |
| 20024Y | Other | NH | ANTHEM REFERRING RAN |
| HLO030 | Other | NH | HPHC |
| 0102584YPNH01 | Other | NH | ANTHEM ACES PIN |
| 2123 | Other | NH | CIGNA PIN |
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 |
|---|---|---|---|
| 7807 | NH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1669462354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MAMMOTH RD",
"address_2": "SUITE 2",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031094133",
"telephone_number": "603-663-8300",
"fax_number": "603-663-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MAMMOTH RD",
"address_2": "SUITE 2",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031094133",
"telephone_number": "603-663-8300",
"fax_number": "603-663-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDEN",
"first_name": "ROGER",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "7807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "2192432",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P674376",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "12-40727",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "406446",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM REFERRING RAN",
"identifier": "20024Y",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "HLO030",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ACES PIN",
"identifier": "0102584YPNH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2123",
"state": "NH"
}
],
"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 Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.