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

Jessica Niewodowski, DO

Individual provider Surgery Physician · NPI 1093048530

Jessica Niewodowski, DO is a General Surgery in Manchester, New Hampshire. Graduated from Philadelphia College of Osteopathic Medicine in 2015, 11 years ago. Practices with Elliot Professional Services, a 424-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire, Pennsylvania and Washington.

Years since qualifying
11
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NH, PA, WA
In the registry since
2009
Specialties on file
3
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

185 Queen City Ave
Manchester, NH 03101-7121
Phone: (603) 627-1102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 Howard Ave, Altoona, PA 16601-4804 — (814) 889-6157

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 22982 (NH)
Surgery Physician Taxonomy 208600000X · Licence OP60590736 (WA)
Surgery Physician Taxonomy 208600000X · Licence OS015160 (PA)

Record details

NPI number1093048530
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 16, 2009
Last updated in NPPESAugust 31, 2022
Certification dateAugust 29, 2022
Mailing address185 Queen City Ave, Manchester, NH 03101-7121

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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