Individual provider Active NPI

Terry J Garfinkle, MD

  • Otolaryngology Physician
  • Salem, MA
National Provider Identifier
1346213105
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
49306 Issued in MA
Practice address
55 Highland Avenue
Suite 201
Salem, MA 01970
Phone
(978) 745-6601
Fax
(978) 744-4872
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 49306 MA Primary

Addresses

Primary practice location

55 Highland Avenue
Suite 201
Salem, MA 01970

Mailing address

177 Bradlee Avenue
Swampscott, MA 01907
Phone (781) 599-3299

Other identifiers 9

IdentifierTypeStateIssuer
0164178MedicaidMA
2084840OtherMAAETNA NUMBER
35395OtherMAFALLON
703640OtherMATUFTS NUMBER
0012292OtherMANEIGHBORHOOD HEALTH NUMBE
040004209OtherMARR MEDICARE NUMBER
19309OtherMAHPHC NUMBER
D25082OtherMABLUE SHIELD NUMBER
1000056OtherMAUNITED HEALTH CARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 31, 2012 Accepting new patients
North Shore Ear, Nose & Throat Associates, PC Otolaryngology Past Accepting new patients
NSPG Billing LLC Past Accepting new patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. PastSince Jul 16, 2012 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

114 Whitwell St
Ste 417
Quincy, MA 02169
Phone (617) 472-5005

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1346213105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BRADLEE AVENUE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "781-599-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVENUE",
            "address_2": "SUITE 201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-6601",
            "fax_number": "978-744-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFINKLE",
        "first_name": "TERRY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "49306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164178",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "2084840",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "35395",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS NUMBER",
            "identifier": "703640",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH NUMBE",
            "identifier": "0012292",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "040004209",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC NUMBER",
            "identifier": "19309",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "D25082",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE NUMBER",
            "identifier": "1000056",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.