NPIMap

Individual provider Active NPI

Michael Bova, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lebanon, NH
National Provider Identifier
1720548159
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25271 Issued in NH
Practice address
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone
(603) 650-5000
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA11770000 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25271 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Mailing address

65 James St
Edison, NJ 08820-3947
Phone (323) 217-0007

Other practice location 1

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000 ext. 68121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231130003423 NJ Practitioner - Physical Medicine and Rehabilitation 2365779618 Reassigns benefits to 1 organization
I20240702003652 NH Practitioner - Pain Management 2365779618 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dartmouth-Hitchcock Clinic 1,445 clinicians
Mary Hitchcock Memorial Hospital 1,269 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

Hospital & facility affiliations

  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Cheshire Medical Center Hospital, Keene, NH, CCN 300019
  • Cottage Hospital Hospital, Woodsville, NH, CCN 301301
  • New London Hospital Hospital, New London, NH, CCN 301304
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25271NHMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. CurrentSince Jun 19, 2024 Accepting new patients
Alice Peck Day Memorial Hospital Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 17, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 19, 2024 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jun 19, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 17, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 19, 2024 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jun 19, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
The New London Hospital Association, Inc. CurrentSince Jun 19, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 19, 2024 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

273 County Rd
New London, NH 03257
Phone (603) 526-5215

65 James St
Edison, NJ 08820
Phone (732) 321-7010

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1720548159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "323-217-0007",
            "fax_number": "732-744-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 James St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203947",
            "country_code": "US",
            "telephone_number": "732-321-7000 x68121",
            "fax_number": "732-744-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA11770000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NH",
            "license": "25271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.