Commonwealth Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COMMONWEALTH SURGICAL ASSOCIATES PC

Practice address

91 Montvale Ave
Suite 208
Stoneham, MA 02180-3623

Phone

(781) 279-1123

Fax

(781) 438-3034

NPI assigned

Mar 14, 2006

Last updated

Jan 25, 2018By 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

Kelly Yannalfo

Title

Practice Manager

Phone

(781) 279-1123

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1558330548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE",
            "address_2": "SUITE 208",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803623",
            "telephone_number": "781-279-1123",
            "fax_number": "781-438-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE",
            "address_2": "SUITE 208",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803623",
            "telephone_number": "781-279-1123",
            "fax_number": "781-438-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "YANNALFO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "781-279-1123"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712194",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17876",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Colon and Rectal Surgery PLLC
• Commonwealth DME, Inc.
• Commonwealth Pediatrics, LLC
• Commonwealth Surgical Associates
• Commonwealth Surgical Associates
• Commonwealth Weight Loss, LLC
• Commonwealth Weight Loss, LLC
• Community Internist Associates PC
• Conui Society (Foot and Ankle of New England)
• Linda Ann Corey, RN NP

• Surgery Physician in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.