Active NPI
Thomas A Amoroso, MD
- Emergency Medicine Physician
- Concord, MA
National Provider Identifier
1497719033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 74344
- Practice address
- 109 Stone Root LN
Concord, MA 01742-4700 - Phone
- (617) 785-8857
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 74344 | MA | Primary |
Addresses
Primary practice location
109 Stone Root LN
Concord, MA 01742-4700
Mailing address
705 Mount Auburn St
Watertown, MA 02472-1508
Phone (617) 972-9400
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000047345 | Other | MA | BMC HEALTHNET |
| 074344 | Other | MA | TUFTS |
| AA101486 | Other | MA | PILGRAM HEALTH |
| J11352 | Other | MA | BS |
| 3084663 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74344 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Cattaraugus County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Clinical Laboratories of Hawaii LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
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Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497719033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 MOUNT AUBURN ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024721508",
"telephone_number": "617-972-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 STONE ROOT LN",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424700",
"telephone_number": "617-785-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOROSO",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "74344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000047345",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "074344",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PILGRAM HEALTH",
"identifier": "AA101486",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "J11352",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3084663",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.