Active NPI
Myrta Ines Otero, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 235604
- Practice address
- 354 Merrimack St
BLDG. 1
Lawrence, MA 01843-1754 - Phone
- (978) 687-2321
- Fax
- (978) 685-7265
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 235604 | MA | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 23621 | NH | |
| Pediatrics Physician | 208000000X | 14679 | PR |
Addresses
Primary practice location
354 Merrimack St
BLDG. 1
Lawrence, MA 01843-1754
Mailing address
354 Merrimack St
BLDG. 1
Lawrence, MA 01843-1754
Phone (978) 687-2321
Other practice location 1
1 Medical Center Dr
Department of Family Medicine
Lebanon, NH 03756-0001
Phone (603) 650-5000
Other practice location 2
100 Hitchcock Way
Department of Family Medicine
Manchester, NH 03104-4125
Phone (603) 695-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14679 | PR | MD | Pediatrics Physician |
| 235604 | MA | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Pediatrics | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Pediatrics | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients |
Locations
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
Interoperability endpoints
- motero63491@direct.dartmouth-hitchcock.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba The Doorway at Cheshire Medical Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Keene, NH
- NPI 1174176861
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
Pediatrics
-
dba Hampstead Hospital
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1275520074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"address_2": "BLDG. 1",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-685-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"address_2": "BLDG. 1",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-685-7265"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_2": "Department of Family Medicine",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037560001",
"country_code": "US",
"telephone_number": "603-650-5000",
"fax_number": "603-640-1228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hitchcock Way",
"address_2": "Department of Family Medicine",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031044125",
"country_code": "US",
"telephone_number": "603-695-2500",
"fax_number": "603-640-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTERO",
"first_name": "MYRTA",
"middle_name": "INES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MA",
"license": "235604",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NH",
"license": "23621",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "14679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.