Active NPI
Robert Edward Dalessandro
- Obstetrics Physician
- Leominster, MA
National Provider Identifier
1295967669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 50825
- Practice address
- 23 Theresa Ave
Leominster, MA 01453-4631 - Phone
- (978) 534-5212
- NPI assigned
- Aug 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 50825 | MA | Primary |
Addresses
Primary practice location
23 Theresa Ave
Leominster, MA 01453-4631
Mailing address
23 Theresa Ave
Leominster, MA 01453-4631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50825 | MA | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1295967669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 THERESA AVE",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014534631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 THERESA AVE",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014534631",
"telephone_number": "978-534-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALESSANDRO",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MA",
"license": "50825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.