Maestro Medical Group, PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

MAESTRO MEDICAL GROUP, PLLC

Practice address

8 Hiawatha TRL
Holliston, MA 01746-3320

Phone

(603) 512-5659

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Julius T Tabe, MDNPI 1801093356

Title

President/Ceo

Phone

(603) 512-5659

Specialties & licenses 10

Addresses

Other names 1

• MAESTRO MEDICAL GROUP, PLLC Other name

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Enrollment records 2

Practitioners 7

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

• Rokhaya Ly, BSN MSN AGNP

  • Nurse Practitioner
  • Holliston, MA
  • NPI 1134938129

  RI

  Medicare reassignment Care Compare group NPD
• Julius Tanyi V Tabe, M.D

  • Family Medicine Physician
  • Holliston, MA
  • NPI 1801093356

  RI

  Medicare reassignment NPD Authorized official
• Jamie Lee Delacruz, AGNP

  • Gerontology Nurse Practitioner
  • Warwick, RI
  • NPI 1679104236
  Medicare reassignment Care Compare group NPD
• Sylvia Musoke

  • Family Nurse Practitioner
  • North Billerica, MA
  • NPI 1801769179
  Medicare reassignment Care Compare group
• Lucy W Wahinya

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly, MA
  • NPI 1679362958
  Medicare reassignment Care Compare group
• Rosette Wakanabo, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, MA
  • NPI 1629788906
  Medicare reassignment
• Richard A St. Dennis, PA

  • Physician Assistant
  • Coventry, RI
  • NPI 1306879242
  Medicare reassignment

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1275367591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIAWATHA TRL",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017463320",
            "telephone_number": "603-512-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HIAWATHA TRL",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017463320",
            "telephone_number": "603-512-5659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Shearer St",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "MA",
            "postal_code": "010691428",
            "country_code": "US",
            "telephone_number": "603-512-5659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "642 Metacom Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028852350",
            "country_code": "US",
            "telephone_number": "401-438-3250",
            "fax_number": "508-213-1599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166716",
            "country_code": "US",
            "telephone_number": "401-438-3250",
            "fax_number": "508-213-1599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 Putnam Pike",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "RI",
            "postal_code": "028281435",
            "country_code": "US",
            "telephone_number": "401-438-3250",
            "fax_number": "508-213-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAESTRO MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "TABE",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "603-512-5659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAESTRO MEDICAL GROUP, PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MAESTRO MEDICAL GROUP, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacey Larson, PSYD
• Holly M Leblanc, BA, MS
• Rokhaya Ly, BSN MSN AGNP
• Kaitlyn R Lyttle
• Sallie P Mady, MD
• Mary Beth Maloney, LSW
• Massachusetts Special Care and Association
• Agatha McEachern, MSPT
• Michael J. McKay, BCBA
• Casey McLaughlin, NP

• Adult Medicine Physician in Holliston, MA
• Providers in Holliston, MA by specialty
• Adult Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.

Verify at the official NPI Registry.