Individual provider Active NPI

Joshua Max Nathan, MD

  • Obstetrics & Gynecology Physician
  • Manchester, NH
National Provider Identifier
1972605962
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17343 Issued in NH
Practice address
150 Tarrytown Rd
Manchester, NH 03103-2713
Phone
(603) 622-3162
Fax
(603) 622-8677
NPI assigned
Sep 1, 2006
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17343 NH Primary

Addresses

Primary practice location

150 Tarrytown Rd
Manchester, NH 03103-2713

Mailing address

150 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 622-3162

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518001558 NH Practitioner - Obstetrics/Gynecology 4688742877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manchester Obstetrical Associates, PAGroup PAC ID 4789628199, 6 clinicians

Practice addresses (Care Compare)

150 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 622-3162

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17343NHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Obstetrical Associates, PA Obstetrics & Gynecology CurrentSince Mar 15, 2016 Accepting new patients
Manchester Obstetrical Associates, P.a. Current Accepting new patients
Elliot Hospital of the City of Manchester Past Accepting new patients

Locations

77 Gilcreast Rd
Ste 1000
Londonderry, NH 03053
Phone (603) 622-3162

150 Tarrytown Rd
Manchester, NH 03103
Phone (603) 622-3162

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1972605962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "telephone_number": "603-622-3162",
            "fax_number": "603-622-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TARRYTOWN RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032713",
            "telephone_number": "603-622-3162",
            "fax_number": "603-622-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "JOSHUA",
        "middle_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "17343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.