Massachusetts Ear Nose and Throat Associates 3 LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MASSACHUSETTS EAR NOSE AND THROAT ASSOCIATES 3 LLC

Practice address

100 Unicorn Park Dr Ste 102
Woburn, MA 01801-3379

Phone

(978) 256-5557

Fax

(978) 256-1835

NPI assigned

Jun 4, 2021

Last updated

Mar 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vijay Nayak, MDNPI 1083602163

Title

Managing Partner

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

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Holly Gallivan, MD,MPH,FACS

  • Otolaryngology Physician
  • Woburn, MA
  • NPI 1427056225
  Medicare reassignment Care Compare group NPD
• Brianna Crane, PA

  • Physician Assistant
  • Woburn, MA
  • NPI 1568846863
  Medicare reassignment Care Compare group
• Vijay K Nayak, MD

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1083602163
  Authorized official Same address or phone
• Scott Finlay, MD

  • Otolaryngology Physician
  • Chelmsford, MA
  • NPI 1932442662
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1548837032",
    "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": "100 UNICORN PARK DR STE 102",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013379",
            "telephone_number": "978-256-5557",
            "fax_number": "978-256-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS EAR NOSE AND THROAT ASSOCIATES 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "978-256-5557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109100",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mail@massent.com",
            "affiliation": "N",
            "address_1": "100 Unicorn Park Dr Ste 102",
            "city": "Woburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018013379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Silibaziso Masebe
• Matthew Mason, LICSW
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• Mass General Brigham-Dasco HME LLC
• Ghada Souhel Massabni, DMD
• Massachusetts Ear Nose and Throat Associates 4 LLC
• Massachusetts ENT Consultants LLC
• Massachusetts Medical & Physical Therapy Associates Inc. (Fitzgerald Physical Therapy Associates, Inc.)
• Ashley Mastaj, DPT
• Mattera Physical Therapy LLC (Mattera Physical Therapy)

• Otolaryngology Physician in Woburn, MA
• Providers in Woburn, MA by specialty
• 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.