Active NPI
North Bay ENT & Audiology Group LLC
- Otolaryngic Allergy Physician
- Baltimore, MD
National Provider Identifier
1013716802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- Legal business name
- NORTH BAY ENT & AUDIOLOGY GROUP LLC
- Practice address
- 9114 Philadelphia Rd Ste 108
Baltimore, MD 21237-4346 - Phone
- (410) 879-9100
- NPI assigned
- Mar 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Malvaso
- Title
- Administrator
- Phone
- (410) 879-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | Primary |
Addresses
Primary practice location
9114 Philadelphia Rd Ste 108
Baltimore, MD 21237-4346
Mailing address
520 Upper Chesapeake Dr
Bel Air, MD 21014-4339
Phone (410) 879-9100
Other practice location 1
456 Alliance St
Havre DE Grace, MD 21078-3559
Phone (410) 939-1819
National Provider Directory
National Provider Directory- Tax ID family
- North Bay ENT Audiology Group LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Havre de Grace, MD
- NPI 1073316485
-
- Audiologist
- Bel Air, MD
- NPI 1174396006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1013716802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 UPPER CHESAPEAKE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144339",
"telephone_number": "410-879-9100",
"fax_number": "410-638-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9114 PHILADELPHIA RD STE 108",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374346",
"telephone_number": "410-879-9100"
}
],
"practiceLocations": [
{
"address_1": "456 Alliance St",
"address_purpose": "LOCATION",
"city": "Havre DE Grace",
"state": "MD",
"postal_code": "210783559",
"country_code": "US",
"telephone_number": "410-939-1819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTH BAY ENT & AUDIOLOGY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "MALVASO",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "410-879-9100"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.