Lawrence James Monaldo, DDS MBA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11711 Issued in MA

Practice address

100 Highland Ave
Salem, MA 01970

Phone

(978) 745-8774

Fax

(978) 741-7534

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Oral Surgery Group PCGroup PAC ID 2567534639, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center - Hospital, Salem, MA, CCN 220035

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Interoperability endpoints

• Direct secure messaging: monaldo.lawrence.nsosg@direct.partners.masshiway.net

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.

• North Shore Oral Surgery Group PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Salem, MA
  • NPI 1912119546
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588709752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-8774",
            "fax_number": "978-741-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-8774",
            "fax_number": "978-741-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONALDO",
        "first_name": "LAWRENCE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "11711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244333",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Mofsen, D.O.
• Safdar Mohamed, M.D.
• Celeste Molle
• Martha Monahan, ED.D.
• Shayla Monahan, NP
• Herbert Henry Monk Jr., RPH
• Calia T Monteiro
• Jessica Monteiro
• Glenda Noemy Montiel
• Moonbeam Wellness LLC

• Oral and Maxillofacial Surgery (Dentist) in Salem, MA
• Providers in Salem, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.