Derry Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

DERRY IMAGING CENTER LLC

Practice address

6 Tsienneto Rd
Suite 100L
Derry, NH 03038-1584

Phone

(603) 537-1300

Fax

(603) 537-1324

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Laura Farmakis

Title

Office Manager

Phone

(603) 537-3028

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southern New Hampshire Internal Medicine Associates, PLLC

  • Specialist
  • Derry, NH
  • NPI 1316026677

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine M Hand, MD

  • Family Medicine Physician
  • Londonderry, NH
  • NPI 1558331215
  Medicare reassignment NPD
• Theodore T Brooks, MD

  • Family Medicine Physician
  • Derry, NH
  • NPI 1023088812
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1891834545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 100L",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-537-1300",
            "fax_number": "603-537-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 100L",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-537-1300",
            "fax_number": "603-537-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERRY IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FARMAKIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-537-3028"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "76Y007482NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7128517",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9938751",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "NH1602",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Iris Avena Depasupil, MD
• Derry Braces PC
• Derry Cooperative School District
• Derry Counseling SVCS
• Derry Dental Associates
• Derry Joint & Spine Center PC
• Derry Medical Center
• Derry Medical Center, PA
• Derry Neurological Associates, PC
• Derry Pediatrics

• Radiology Clinic/Center in Derry, NH
• Providers in Derry, NH by specialty
• Radiology Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.