Organization Active NPI

Manchester Internal Medicine Associates, P. C.

  • Internal Medicine Physician
  • Manchester, NH
National Provider Identifier
1962488171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MANCHESTER INTERNAL MEDICINE ASSOCIATES, P. C.
Practice address
1650 Elm St
Suite 302
Manchester, NH 03101-1217
Phone
(603) 622-4200
NPI assigned
Dec 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peggy S. Knightly
Title
Office Administrator
Phone
(603) 622-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1650 Elm St
Suite 302
Manchester, NH 03101-1217

Mailing address

1650 Elm St
Suite 302
Manchester, NH 03101-1217
Phone (603) 622-4200

Other identifiers 1

IdentifierTypeStateIssuer
80008153MedicaidNH

National Provider Directory

National Provider Directory

Locations

1650 Elm St
Manchester, NH 03101

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962488171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ELM ST",
            "address_2": "SUITE 302",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011217",
            "telephone_number": "603-622-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ELM ST",
            "address_2": "SUITE 302",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011217",
            "telephone_number": "603-622-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER INTERNAL MEDICINE ASSOCIATES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNIGHTLY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "603-622-4200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80008153",
            "state": "NH"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.