Individual provider Active NPI

Patrick William Lanzetta, M.D.

  • Emergency Medicine Physician
  • Rochester, NH
National Provider Identifier
1720140411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5529 Issued in NH
Practice address
11 Whitehall Rd
Rochester, NH 03867-3226
Phone
(603) 332-5211
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5529 NH Primary

Addresses

Primary practice location

11 Whitehall Rd
Rochester, NH 03867-3226

Mailing address

146 Ridge Road Top
New Durham, NH 03855-2410
Phone (603) 859-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001166 NH Practitioner - Emergency MedicinePractitioner - General Surgery 0143265017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5529NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Vna CurrentSince Mar 2, 2019 Accepting new patients
Cornerstone Vna PastSince Mar 2, 2019 Accepting new patients

Locations

178 Farmington Rd
Rochester, NH 03867
Phone (603) 332-1133

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cornerstone VnaRochester, NH, CCN 301530 Hospice Operational/Managerial Control (20%) Dec 31, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720140411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 RIDGE ROAD TOP",
            "city": "NEW DURHAM",
            "state": "NH",
            "postal_code": "038552410",
            "telephone_number": "603-859-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WHITEHALL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673226",
            "telephone_number": "603-332-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZETTA",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "5529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.