Active NPIIndividual provider

Jennifer A Civitella, MD

Family Medicine in Antrim, New Hampshire

NPI Number1225012586
Practice location
12 Elm St, Antrim, NH 03440-3916
Fax
603-588-4089
Last updated
August 13, 2026

Jennifer Ann Civitella is a Family Medicine based in Antrim, NH. Jennifer Ann Civitella practices in Antrim, NH and has the professional credentials of MD. The NPI Number for Jennifer Ann Civitella is 1225012586 and holds a License No. 12233 (NH). The current practice location address for Jennifer Ann Civitella is 12 Elm St, Antrim, NH 03440-3916 and can be reached out via phone at 603-588-4200 and via fax at 603-588-4089.

Provider Profile Details

NPI Number
1225012586
Provider Name
Jennifer Ann Civitella
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12 Elm St, Antrim, NH 03440-3916
Phone Number
603-588-4200
Fax Number
603-588-4089
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
Jenny Mccallen, MD (Former Name)
Provider Enumeration Date
November 30, 2005
Last Update Date
August 13, 2026
Certification Date
August 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Elm St
Antrim, NH 03440-3916
City
Antrim
Zip
03440-3916
Phone Number
603-588-4200
Fax Number
603-588-4089
Antrim, NH 03440Get directions →

Provider Business Mailing Address Details

Address
12 Elm St
Antrim, NH 03440-3916
City
Antrim
State
NH
Zip
03440-3916
Phone Number
603-588-4200
Fax Number
603-588-4089

License Information

License Number
12233
License State
NH
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer A Civitella, MD?

The NPI number of Jennifer A Civitella, MD is 1225012586. It was assigned on November 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Jennifer A Civitella, MD?

Jennifer A Civitella, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NH under license number 12233.

Where does Jennifer A Civitella, MD practice?

The practice location is 12 Elm St, Antrim, NH 03440-3916. The office can be reached at 603-588-4200 (phone) or 603-588-4089 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225012586 directly on the NPPES registry website.

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