Active NPI
Nsent Congenial Healthcare
- Otolaryngology Physician
- Danvers, MA
National Provider Identifier
1588102602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- NSENT CONGENIAL HEALTHCARE
- Practice address
- 104 Endicott St Ste 100
Danvers, MA 01923-3623 - Phone
- (978) 745-6601
- NPI assigned
- Feb 9, 2017
- 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
- Terry O'Callaghan
- Title
- Practice Admin
- Phone
- (603) 812-3682
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Physician Assistant | 363A00000X | PA6024 | MA |
Addresses
Primary practice location
104 Endicott St Ste 100
Danvers, MA 01923-3623
Mailing address
104 Endicott St Ste 100
Danvers, MA 01923-3623
Phone (978) 745-6601
National Provider Directory
National Provider Directory- Tax ID family
- North Shore Ear Nose and Throat Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Danvers, MA
- NPI 1669144994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632873600000",
"number": "1588102602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ENDICOTT ST STE 100",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233623",
"telephone_number": "978-745-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ENDICOTT ST STE 100",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233623",
"telephone_number": "978-745-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSENT CONGENIAL HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-09",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A",
"authorized_official_last_name": "O'CALLAGHAN",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "PRACTICE ADMIN",
"authorized_official_telephone_number": "603-812-3682"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.