Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenny Laheri Mamtora, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457974396

Jenny Laheri Mamtora, DO is a Family Practice in Danvers, Massachusetts. Qualified in 2020, 6 years ago. Practices with Beth Israel Lahey Health Primary Care, Inc, a 353-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

480 Maple St
Danvers, MA 01923-4065
Phone: (978) 304-8380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Family Medicine Center, Wheeling, WV 26003 — (304) 243-3880

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1017039 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457974396
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Beth Israel Lahey Health Primary Care, Inc — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Danvers