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Export Provider Record NPI 1053642892
Elliot Physicians Network
Organization Subpart: YES
Active
NPI Number1053642892
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1053642892
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-01-19
Last Updated2011-10-22
Authorized OfficialRichard Herman
Director of Finance & Operations
Phone: 6036634904
Mailing Address4 Elliot Way, Suite 100, Elliot Family Medicine At Manchester
Manchester, NH 03103-3551
United States
Phone: (603) 626-5113 | Fax: (603) 622-5298
📍 View Map
Primary Practice Address4 Elliot Way, Suite 100, Elliot Family Medicine At Manchester
Manchester, NH 03103-3551
United States
Phone: (603) 626-5113 | Fax: (603) 622-5298
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NHRE5600Medicare Group PTAN
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family Medicine
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About NPI 1053642892

Elliot Physicians Network is an organization registered in the CMS NPPES NPI Registry with NPI number 1053642892. The primary specialty listed is Family Medicine. The organization is located in Manchester, NH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-01-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053642892?

NPI 1053642892 belongs to Elliot Physicians Network, a Family Medicine in Manchester, NH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053642892 active?

The current status of NPI 1053642892 in the NPPES registry is Active. The record was last updated on 2011-10-22.

What specialty is NPI 1053642892?

NPI 1053642892 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053642892?

You can verify NPI 1053642892 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053642892?

The primary practice address on file for NPI 1053642892 is 4 Elliot Way, Suite 100, Manchester, NH 03103-3551. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053642892 issued?

NPI 1053642892 was first issued (enumerated) on 2010-01-19. The NPPES record was last updated on 2011-10-22.

Practice Location Map

Elliot Physicians Network is located at 4 Elliot Way, Suite 100, Manchester, NH. Use the map below to find directions or verify the practice location.

📍 4 Elliot Way, Suite 100, Manchester, NH 03103-3551  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Elliot Physicians Network. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162