Individual provider Active NPI

Zacharia Deng Makuach Mamur

  • Ambulatory Care Registered Nurse
  • Manchester, NH
National Provider Identifier
1982592739
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
979323 Issued in NH
Practice address
470 Silver St Apt 217
Manchester, NH 03103-5057
Phone
(603) 219-8889
Fax
(603) 219-8889
NPI assigned
Jun 27, 2025
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 979323 NH Primary

Addresses

Primary practice location

470 Silver St Apt 217
Manchester, NH 03103-5057

Mailing address

470 Silver St Apt 217
Manchester, NH 03103-5057
Phone (603) 219-8889

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
979323NHMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1982592739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SILVER ST APT 217",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035057",
            "telephone_number": "603-219-8889",
            "fax_number": "603-219-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SILVER ST APT 217",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035057",
            "telephone_number": "603-219-8889",
            "fax_number": "603-219-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMUR",
        "first_name": "ZACHARIA",
        "middle_name": "DENG MAKUACH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NH",
            "license": "979323",
            "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 Jun 27, 2025; 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.