Active NPI
Marco Christian Montecalvo
- Physician Assistant
- Andover, MA
National Provider Identifier
1548763766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA6464
- Practice address
- 323 Lowell St
Andover, MA 01810-4501 - Phone
- (978) 794-1946
- Fax
- (978) 975-3925
- NPI assigned
- Mar 14, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6464 | MA | Primary |
Addresses
Primary practice location
323 Lowell St
Andover, MA 01810-4501
Mailing address
575 Turnpike St Ste 21
North Andover, MA 01845-5937
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1548763766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 TURNPIKE ST STE 21",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 LOWELL ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104501",
"telephone_number": "978-794-1946",
"fax_number": "978-975-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTECALVO",
"first_name": "MARCO",
"middle_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.