Active NPI
Otolaryngology Plastic Surgery Associates, PC
- Otolaryngology Physician
- Lansdale, PA
National Provider Identifier
1487717575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- OTOLARYNGOLOGY PLASTIC SURGERY ASSOCIATES, PC
- Practice address
- 2100 N Broad St
Lansdale, PA 19446-1052 - Phone
- (215) 368-5290
- Fax
- (215) 348-7416
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen Masturzo
- Title
- Practice Manager
- Phone
- (215) 348-1152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
2100 N Broad St
Lansdale, PA 19446-1052
Mailing address
2100 N Broad St
Lansdale, PA 19446-1052
Phone (215) 368-5290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
103 Progress Dr
Ste 103
Doylestown, PA 18901
Phone (215) 348-1152
2100 N Broad St
Ste 102
Lansdale, PA 19446
Phone (215) 348-1152
2100 N Broad St
#688
Lansdale, PA 19446
Phone (215) 368-5290
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Lansdale, PA
- NPI 1114080280
-
- Otolaryngology Physician
- Lansdale, PA
- NPI 1902969157
-
- Otolaryngology Physician
- Lansdale, PA
- NPI 1982767141
-
- Otolaryngology Physician
- Lansdale, PA
- NPI 1841511565
-
- Audiologist
- Warrington, PA
- NPI 1790950517
-
- Audiologist
- Lansdale, PA
- NPI 1639366917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692316800000",
"number": "1487717575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461052",
"telephone_number": "215-368-5290",
"fax_number": "215-348-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461052",
"telephone_number": "215-368-5290",
"fax_number": "215-348-7416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTOLARYNGOLOGY PLASTIC SURGERY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A",
"authorized_official_last_name": "MASTURZO",
"authorized_official_first_name": "MAUREEN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "215-348-1152"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.