Monica a Gobran DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21325 Issued in MA

Legal business name

MONICA A GOBRAN DMD PC

Practice address

11 Harvard St
Worcester, MA 01609-2839

Phone

(508) 753-3200

Fax

(508) 753-1894

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Monica Ayoub Gobran, DMD

Title

President

Phone

(508) 753-3200

Specialties & licenses 2

Addresses

Other names 1

• Monica A Gobran, DMD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Inas O Almasry, MD

  • Internal Medicine Physician
  • Stoughton, MA
  • NPI 1154310746
  NPD (past)
• Peter P Audette, DMD

  • General Practice Dentistry
  • Worcester, MA
  • NPI 1578567228

  General Practice

  NPD (past)
• Mario Corpuz, NP

  • Acute Care Nurse Practitioner
  • Abington, MA
  • NPI 1649529033
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1386757458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HARVARD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092839",
            "telephone_number": "508-753-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HARVARD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092839",
            "telephone_number": "508-753-3200",
            "fax_number": "508-753-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA A GOBRAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "GOBRAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "AYOUB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-753-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21325",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monica A Gobran, DMD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Monica A Gobran, DMD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John Christopher Monfredo, LICSW
• Judith M Monfredo, C.R.N.A.
• Rachel Monge, LICSW
• Autumn Mongeon
• Meridith Mongeon, RN
• Carley Mae Moniz
• Maria Jesus Monje
• Sophie M. Monnier-Serov, M.D.
• Carolann Monopoli, NP
• Ashley Grace Monroe

• All providers in Worcester, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.