Individual provider Active NPI

Maria Cano Garcia

  • Physician Assistant
  • Manchester, NH
National Provider Identifier
1760257554
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1260 Elm St
Manchester, NH 03101-1354
Phone
(603) 314-1701
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1260 Elm St
Manchester, NH 03101-1354

Mailing address

1260 Elm St
Manchester, NH 03101-1354

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250305003052 MA Practitioner - Physician Assistant 9638690753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

62 Brown St
Suite 304C
Haverhill, MA 01830-6790
Phone (978) 228-1900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neda at North Shore PC CurrentSince Mar 1, 2025 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Mar 1, 2025 Accepting new patients
Nedan LLC Past Accepting new patients

Locations

138 Conant St
Ste 1
Beverly, MA 01915

62 Brown St
Ste 304C
Haverhill, MA 01830
Phone (603) 552-3309

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

302 Innovation Dr
Ste 400
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: maria.canogarcia@pd.eclinicaldirectplus.com
  • Direct secure messaging: mcanogarcia@nedermatology.emadirect.md

Organizations & group practices 3

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1760257554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011354",
            "telephone_number": "603-314-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO GARCIA",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.