Active NPI
Robert P Cipro, MD
- Otolaryngology Physician
- N Andover, MA
National Provider Identifier
1033111646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 30477
- Practice address
- 198 Massachusetts Ave
#103
N Andover, MA 01845-4143 - Phone
- (978) 685-7550
- Fax
- (978) 686-5565
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 30477 | MA | Primary |
Addresses
Primary practice location
198 Massachusetts Ave
#103
N Andover, MA 01845-4143
Mailing address
198 Massachusetts Ave
#103
N Andover, MA 01845-4143
Phone (978) 685-7550
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208156 | Other | MMS | |
| 64826 | Other | AETNA/USHC | |
| 703843 | Other | TUFTS | |
| B53047 | Other | BS/MA | |
| 0104512Y0MA01 | Other | NH BS | |
| 040007238 | Other | MC RR | |
| 8017 | Other | AAO/HNS | |
| B53047 | Other | BS-HMO | |
| 30204079 | Other | WELF / NH | |
| 043239435 | Other | UNITED HC | |
| 2009226 | Other | WELF/ MA | |
| A35828 | Other | MC | |
| 0013663 | Other | NHP | |
| 2009226 | Medicaid | MA | |
| 36037 | Other | FALLON | |
| AA4456 | Other | H/PIL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30477 | MA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1033111646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 MASSACHUSETTS AVE",
"address_2": "#103",
"city": "N ANDOVER",
"state": "MA",
"postal_code": "018454143",
"telephone_number": "978-685-7550",
"fax_number": "978-686-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 MASSACHUSETTS AVE",
"address_2": "#103",
"city": "N ANDOVER",
"state": "MA",
"postal_code": "018454143",
"telephone_number": "978-685-7550",
"fax_number": "978-686-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIPRO",
"first_name": "ROBERT",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "30477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMS",
"identifier": "208156",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "64826",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "703843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS/MA",
"identifier": "B53047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH BS",
"identifier": "0104512Y0MA01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC RR",
"identifier": "040007238",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAO/HNS",
"identifier": "8017",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS-HMO",
"identifier": "B53047",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELF / NH",
"identifier": "30204079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC",
"identifier": "043239435",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELF/ MA",
"identifier": "2009226",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC",
"identifier": "A35828",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0013663",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009226",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "36037",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "H/PIL",
"identifier": "AA4456",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in N Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.