Massachusetts Ear Nose and Throat Associates 2 LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MASSACHUSETTS EAR NOSE AND THROAT ASSOCIATES 2 LLC

Practice address

747 Main St Ste 214
Concord, MA 01742-3330

Phone

(978) 256-5557

Fax

(978) 256-1835

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Heffernan, CPC, CENTC

Title

Billing/Credentialing Manager

Phone

(978) 256-5557

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 8

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

• Scott Finlay, MD

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1932442662

  MA, Otolaryngology

  Medicare reassignment NPD
• Jessica Lauren Hootnick, M.D.

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1265721336

  MA, Otolaryngology

  Medicare reassignment NPD
• Vishnu Kannabiran

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1083905756

  MA, Otolaryngology

  Medicare reassignment NPD
• Arthur M Lauretano, MD

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1104814375

  MA, Otolaryngology

  Medicare reassignment NPD
• Vijay K Nayak, MD

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1083602163

  MA, Otolaryngology

  Medicare reassignment NPD
• Katherine Nickley, M.D.

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1598008997

  MA, Otolaryngology

  Medicare reassignment NPD
• Stefanie Saunders

  • Otolaryngology Physician
  • Burlington, MA
  • NPI 1235497207

  MA, Otolaryngology

  Medicare reassignment NPD
• Eric H Stein, MD

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1053309328

  MA, Otolaryngology

  Medicare reassignment NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1487228482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BILLERICA RD STE 202",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244100",
            "telephone_number": "978-256-5557",
            "fax_number": "978-256-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MAIN ST STE 214",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423330",
            "telephone_number": "978-256-5557",
            "fax_number": "978-256-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS EAR NOSE AND THROAT ASSOCIATES 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "978-256-5557",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC, CENTC"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102749A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssaunders@massent.com",
            "affiliation": "Y",
            "affiliationName": "Massachusetts ENT Associates Inc",
            "address_1": "747 Main St Ste 214",
            "city": "Concord",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017423330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marvin H. Kendrick, MD, PC
• Lucy Maserejian, RPH
• Mass Assoc in Podiatry
• Mass General Brigham Community Physicians Inc.
• Mass Lung & Allergy PC
• Katina Matheos, MA
• Louisa Mattson, PHD
• Liza Maugham, SOCIAL WORKER
• Kevin Mazzola, PH.D.
• D J Mazzoni, RD

• All providers in Concord, MA
• Otolaryngology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.