Mass Lung & Allergy PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

216020 Issued in MA

Legal business name

MASS LUNG & ALLERGY PC

Practice address

131 Old Rd to 9 Corner
Suite 410
Concord, MA 01742

Phone

(978) 341-8660

Fax

(978) 341-8658

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By 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

Dr. Daniel Steven Jordan, DPHA

Title

Practice Administrator

Phone

(978) 466-2692

Specialties & licenses 1

Addresses

Tax ID family

Mass Lung Allergy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mass Lung & Allergy, P.C.

  dba Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Leominster, MA
  • NPI 1326305368
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEJFAA

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1235547084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 2A",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-468-2692",
            "fax_number": "978-466-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD RD TO 9 CORNER",
            "address_2": "SUITE 410",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-341-8660",
            "fax_number": "978-341-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS LUNG & ALLERGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "978-466-2692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPHA"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "216020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger John Martinkus Jr., PMHNP-BC, MSN, RN
• Marvin H. Kendrick, MD, PC
• Lucy Maserejian, RPH
• Mass Assoc in Podiatry
• Mass General Brigham Community Physicians Inc.
• Massachusetts Ear Nose and Throat Associates 2 LLC
• Katina Matheos, MA
• Louisa Mattson, PHD
• Liza Maugham, SOCIAL WORKER
• Kevin Mazzola, PH.D.

• Pulmonary Disease Physician in Concord, MA
• Providers in Concord, MA by specialty
• Pulmonary Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.