Individual provider Active NPI

Eryn Plata

  • Physician Assistant
  • Manchester, NH
National Provider Identifier
1720301815
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1737 Issued in NH
Practice address
100 McGregor St
Manchester, NH 03102-3730
Phone
(603) 314-4771
Fax
(603) 663-2006
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20863 CA
Physician Assistant 363A00000X 1737 NH Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3730

Mailing address

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 314-4771

Other names 1

  • Eryn Breig Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_mano@gohnh.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111229000712 CA Practitioner - Physician Assistant 8123294899
I20210610003399 NH Practitioner - Physician Assistant 8123294899 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

239 Pleasant St
Concord, NH 03301-7504
Phone (603) 224-6561

24 Old Etna Rd
Lebanon, NH 03766-1937
Phone (603) 448-2234

40 Whitehall Rd
Rochester, NH 03867-3225
Phone (603) 522-6163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20863CAMDChiropractor
PA20863CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Jun 3, 2021 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince May 13, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince May 13, 2024 Accepting new patients
Catholic Medical Center CurrentSince Jun 3, 2021 Accepting new patients

Locations

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

24 Old Etna Rd
Lebanon, NH 03766
Phone (603) 442-4207

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

Organizations & group practices 6

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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1720301815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-314-4771",
            "fax_number": "603-663-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-314-4771",
            "fax_number": "603-663-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATA",
        "first_name": "ERYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20863",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_mano@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERYN",
            "last_name": "BREIG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.