Active NPI
Caren Eliezer, D.O.
- Internal Medicine Physician
- Derry, NH
National Provider Identifier
1891846929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 233760
- Practice address
- 14 Tsienneto Rd Ste 200a
Derry, NH 03038 - Phone
- (603) 537-1300
- NPI assigned
- Jan 16, 2007
- Last updated
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 233760 | MA | Primary |
Addresses
Primary practice location
14 Tsienneto Rd Ste 200a
Derry, NH 03038
Mailing address
6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300
Other practice location 1
2500 Massachusetts Ave
Cambridge, MA 02140-1628
Phone (617) 661-6225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M21670 | Other | MA | MEDICARE PROVIDER GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1891846929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BUTTRICK RD STE 102",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533417",
"telephone_number": "603-537-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 TSIENNETO RD STE 200A",
"city": "DERRY",
"state": "NH",
"postal_code": "03038",
"telephone_number": "603-537-1300"
}
],
"practiceLocations": [
{
"address_1": "2500 Massachusetts Ave",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021401628",
"country_code": "US",
"telephone_number": "617-661-6225",
"fax_number": "617-492-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELIEZER",
"first_name": "CAREN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "233760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER GROUP",
"identifier": "M21670",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.