DR. MARTA MARYAM REDJAEE M.D.
NPI 1770769515
General Practice in Manchester, NH

Q: What is Marta Redjaee's NPI number?

The NPI number for Marta Redjaee is 1770769515. It was assigned to this individual provider in the NPPES registry on January 10, 2008. The provider is also known as Maryam Redjaee MD.

Q: What is Marta Redjaee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Marta Redjaee was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2008PECOS Enrolled

718 SMYTH RD, MANCHESTER, NH 03104(603) 624-4366(603) 629-3268 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Marta Maryam Redjaee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARTA MARYAM REDJAEE M.D. (NPI 1770769515) is an individual general practice provider in Manchester, New Hampshire, licensed in Wisconsin (61691-20) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770769515

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. MARTA MARYAM REDJAEECredential: M.D.

Location Address718 SMYTH RDManchester, NH 03104-7007

Mailing Address718 Smyth RdManchester, NH 03104-7007 · (603) 624-4366 · Fax (603) 629-3268

Phone(603) 624-4366

Fax(603) 629-3268

Sole ProprietorNo

Enumeration DateJanuary 10, 2008

Last NPPES UpdateApril 2, 2020

NPPES CertifiedApril 2, 2020

✔ NPI 1770769515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in WI · 61691-20

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 233901 (MA)

718 SMYTH RD, Manchester, NH 03104

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Other Names 1

Professional Name (2)Maryam Redjaee Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marta Maryam Redjaee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$62.55 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$30.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMORFIA P VALKANOS RPH

Pharmacist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

MR. GIL THOMAS RUECK MSPT

Physical Therapist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

DR. SUSAN JUDITH ZLOTNICK-HALE MD

Family Medicine

718 SMYTH RD, MANCHESTER VA MEDICAL CENTER - PRIMARY CARE
MANCHESTER, NH 03104

Hillsborough County (800) 892-8384

MR. STEVEN GERARD OTTARIANO RPH

Pharmacist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

TRACY LYNN MEYER BSN, RN

Registered Nurse

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

DR. VICTOR GORDAN MD

Internal Medicine

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

KAREN J GUSTAFSON

Registered Nurse

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

MS. BARBARA ELLEN PINES-BROWN LICSW

Social Worker (Clinical)

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marta Redjaee's NPI number?

The NPI number for Marta Redjaee is 1770769515. It was assigned to this individual provider in the NPPES registry on January 10, 2008. The provider is also known as Maryam Redjaee MD.

Where is Marta Redjaee located?

Marta Redjaee practices at 718 Smyth Rd, Manchester, NH 03104. The listed phone number is (603) 624-4366.

What is Marta Redjaee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Marta Redjaee enrolled in Medicare?

Yes. Marta Redjaee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marta Redjaee was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.