Individual provider Active NPI

Victor Joseph Quijano Jr., DPM, PHD

  • Foot & Ankle Surgery Podiatrist
  • Derry, NH
National Provider Identifier
1841258084
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2304 Issued in MA
Practice address
6 Tsienneto Rd
Suite 303
Derry, NH 03038-1584
Phone
(603) 432-2508
Fax
(603) 432-2008
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2304 MA Primary

Addresses

Primary practice location

6 Tsienneto Rd
Suite 303
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd
Suite 303
Derry, NH 03038-1584
Phone (603) 432-2508

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000570 NH Practitioner - Podiatry 4183624869 Practice locations: Derry, NH; Hudson, NH

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of Southern NH, PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2019 Accepting new patients
New England Foot & Ankle, P.C. Foot & Ankle Surgery PastSince Oct 14, 2017 Accepting new patients
Summit Place LLC Foot & Ankle Surgery PastSince Mar 16, 2021 Accepting new patients
Brian Fradette PastSince Jan 1, 2015 Accepting new patients

Locations

6 Tsienneto Rd
Ste 303
Derry, NH 03038
Phone (603) 432-1508

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/34UBEiA4BbjrlyKzOs77LsHNvAbVl0ub/

Organizations & group practices 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1841258084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 303",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-432-2508",
            "fax_number": "603-432-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 303",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-432-2508",
            "fax_number": "603-432-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIJANO",
        "first_name": "VICTOR",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.