North Bay ENT & Audiology Group LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTH BAY ENT & AUDIOLOGY GROUP LLC

Practice address

456 Alliance St
Havre de Grace, MD 21078-3559

Phone

(410) 939-1819

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Tax ID family

North Bay ENT Audiology Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• North Bay ENT & Audiology Group LLC

  • Otolaryngic Allergy Physician
  • Baltimore, MD
  • NPI 1013716802
  NPD tax ID
• North Bay ENT & Audiology Group LLC

  • Audiologist
  • Bel Air, MD
  • NPI 1174396006
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1073316485",
    "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": "456 ALLIANCE ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783559",
            "telephone_number": "410-939-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY ENT & AUDIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "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": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Norkris Services, Inc
• North Bay Orthopaedics, LLC
• Sarah J North, LCMFT
• Northeast Eye Surgeons PA
• Northern Chesapeake Counseling, LLC
• Novus Pain Management - Maryland, LLC

• Otolaryngology Physician in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Otolaryngology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.