Individual provider Active NPI

Constance Emily Cammarata, DO

  • Family Medicine Physician
  • Malden, MA
National Provider Identifier
1467958629
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
290438 Issued in MA
Practice address
178 Savin St Ste 100
Malden, MA 02148-2329
Phone
(781) 338-7400
NPI assigned
Apr 4, 2018
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 290438 MA Primary

Addresses

Primary practice location

178 Savin St Ste 100
Malden, MA 02148-2329

Mailing address

178 Savin St Ste 100
Malden, MA 02148-2329
Phone (781) 338-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001809 MA Practitioner - Family Practice 4486902475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

1 Park Way
Haverhill, MA 01830-6278
Phone (978) 521-3210

260 Merrimac St
Newburyport, MA 01950-2192
Phone (888) 227-3762

500 Merrimack St
Lawrence, MA 01843-1981
Phone (978) 557-8900

Andover Medical Ctr and Express Care
Suite 32
Andover, MA 01810-4501
Phone (978) 783-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290438MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Feb 10, 2025 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
Pentucket Medical Associates, LLC Family Medicine Current Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Feb 10, 2025 Accepting new patients
Hallmark Health Medical Associates Inc Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Mass General Brigham Community Physicians Inc. Current Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

370 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Interoperability endpoints

  • Direct secure messaging: cammarata.constance.pma@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1467958629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 SAVIN ST STE 100",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482329",
            "telephone_number": "781-338-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SAVIN ST STE 100",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482329",
            "telephone_number": "781-338-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMARATA",
        "first_name": "CONSTANCE",
        "middle_name": "EMILY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "290438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.