Active NPI
Cambridge Otolaryngology
- Otolaryngology Physician
- Cambridge, MA
National Provider Identifier
1083743835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- CAMBRIDGE OTOLARYNGOLOGY
- Practice address
- 300 Mount Auburn St
Suite 308
Cambridge, MA 02138-5600 - Phone
- (617) 354-1010
- Fax
- (617) 354-7961
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 22, 2010
- Organization subpart
- Yes
- Parent organization
- CAMBRIDGE OTOLARYNGOLOGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert E Leonard
- Title
- Office Manager
- Phone
- (617) 354-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
300 Mount Auburn St
Suite 308
Cambridge, MA 02138-5600
Mailing address
300 Mount Auburn St
Suite 308
Cambridge, MA 02138-5600
Phone (617) 354-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Cambridge Otolaryngology
Locations
300 Mount Auburn St
Ste 308
Cambridge, MA 02138
Phone (617) 354-1010
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Cambridge, MA
- NPI 1508845017
-
- Otolaryngology Physician
- Cambridge, MA
- NPI 1861425811
-
- Otolaryngology Physician
- Cambridge, MA
- NPI 1740417492
-
- Surgical Physician Assistant
- Cambridge, MA
- NPI 1972034577
-
- Otolaryngology Physician
- Cambridge, MA
- NPI 1417272410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1083743835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 308",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "617-354-1010",
"fax_number": "617-354-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MOUNT AUBURN ST",
"address_2": "SUITE 308",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385600",
"telephone_number": "617-354-1010",
"fax_number": "617-354-7961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE OTOLARYNGOLOGY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAMBRIDGE OTOLARYNGOLOGY",
"enumeration_date": "2007-03-05",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "617-354-1010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
- Cambridge Institute for Psychotherapy Services and Education, Cipse
- Cambridge Medical Supply Inc
- Cambridge Neurosurgical Spinecare LLC
- Cambridge Oral Surgery PC
- Cambridge Orthodontics
- Cambridge Pediatric Dental Associates, P.C.
- Cambridge Periodontics
- Cambridge Periodontics LLC
- Cambridge Physical Therapy and Sports Medicine
- Cambridge Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.