Active NPI
Daniel Joseph Neidorf
- Nurse Practitioner
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 063006-23
- Practice address
- 100 McGregor St
Manchester, NH 03102-3770 - Phone
- (800) 437-9666
- NPI assigned
- May 18, 2017
- Last updated
- Nov 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 020786 | OH | |
| Nurse Practitioner | 363L00000X | 063006-23 | NH | Primary |
Addresses
Primary practice location
100 McGregor St
Manchester, NH 03102-3770
Mailing address
Cleveland Clinic 9500 Euclid Ave
Cleveland, OH 44195-0001
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484
100 McGregor St
Manchester, NH 03102-3730
Phone (603) 668-3545
246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-0584
One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020786 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Medical Center | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Emergency Medicine Physicians of Rockingham County, LLC | Current | Accepting new patients | |
| Elliot Professional Services | Current | Accepting new patients | |
| Usacs Observation Medicine Services of New Hampshire, LLC | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Intensive Care Consortium Inc | Nurse Practitioner | Current | Accepting new patients |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Neonatal and Pediatric Intensivist Services of New Hampshire, LLC | Past | Accepting new patients |
Locations
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
246 Pleasant St
Ste 205
Concord, NH 03301
Phone (603) 224-0584
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- dneidorf170151@direct.solutionhealth.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
dba Concord Hospital Medical Associates
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1427154335
-
- Emergency Medicine Physician
- Exeter, NH
- NPI 1174956668
-
dba Manchester Anesthesia Associates
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
dba Concord Hospital Psychiatric Unit
- Psychiatric Hospital Unit
- Concord, NH
- NPI 1124070966
-
dba Concord Hospital Physician Group
- General Practice Physician
- Concord, NH
- NPI 1801840764
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1306334354
-
- Pediatrics Physician
- Manchester, NH
- NPI 1710773510
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, NH
- NPI 1215988530
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
-
dba Catholic Medical Center
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1902333073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CLEVELAND CLINIC 9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023770",
"telephone_number": "800-437-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIDORF",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2021-11-12",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "020786",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "063006-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.