Massachusetts ENT Consultants LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

223562 Issued in MA

Legal business name

MASSACHUSETTS ENT CONSULTANTS LLC

Practice address

100 Sylvan Rd Ste 750
Woburn, MA 01801-1852

Phone

(781) 937-3001

Fax

(781) 937-3070

NPI assigned

Jun 19, 2018

Organization subpart

Yes

Parent organization

EAR, NOSE & THROAT CONSULTANTS, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas H. Costello, MDNPI 1710986781

Title

Manager

Phone

(781) 937-3001

Specialties & licenses 1

Addresses

Part of

Ear Nose Throat Consultants Inc

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas H Costello, MD

  • Otolaryngology Physician
  • Woburn, MA
  • NPI 1710986781
  NPD Authorized official
• Brianna Crane, PA

  • Physician Assistant
  • Woburn, MA
  • NPI 1568846863
  NPD (past)
• Caitlin Walker Loconte, PA-C

  • Medical Physician Assistant
  • North Andover, MA
  • NPI 1316392988
  NPD (past)
• Brian James Shamberger, PA-C

  • Physician Assistant
  • Woburn, MA
  • NPI 1497266407
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1184118564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SYLVAN RD STE 750",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011852",
            "telephone_number": "781-937-3001",
            "fax_number": "781-937-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SYLVAN RD STE 750",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011852",
            "telephone_number": "781-937-3001",
            "fax_number": "781-937-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "MA",
            "postal_code": "018901971",
            "country_code": "US",
            "telephone_number": "781-937-3001",
            "fax_number": "781-937-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MASSACHUSETTS ENT CONSULTANTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAR, NOSE & THROAT CONSULTANTS, INC",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-937-3001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "223562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massachusetts Ear Nose and Throat Associates 3 LLC
• Massachusetts Ear Nose and Throat Associates 4 LLC
• Massachusetts Medical & Physical Therapy Associates Inc.
• Ashley Mastaj, DPT
• Mattera Physical Therapy LLC
• Jenna Antonette Mattera, DPT
• Mollie A Maturah

• Otolaryngology Physician in Woburn, MA
• Providers in Woburn, MA by specialty
• Otolaryngology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.