NPIMap

Organization Active NPI

Concentus

Doing business as RenovoMD

  • Internal Medicine Physician
  • Shrewsbury, MA
National Provider Identifier
1619129863
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78863 Issued in MA
Legal business name
CONCENTUS
Doing business as
RenovoMD
Practice address
512 Main St
Penthouse
Shrewsbury, MA 01545-6405
Phone
(508) 842-6898
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Jean Marie Casello, MDNPI 1821010778
Title
Ceo
Phone
(508) 842-6898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 78863 MA Primary

Addresses

Primary practice location

512 Main St
Penthouse
Shrewsbury, MA 01545-6405

Mailing address

512 Main St
Penthouse
Shrewsbury, MA 01545-6405
Phone (508) 842-6898

Other names 1

  • RenovoMD Doing business as

National Provider Directory

National Provider Directory

Locations

512 Main St
Ph
Shrewsbury, MA 01545
Phone (508) 842-6898

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1619129863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "address_2": "PENTHOUSE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456405",
            "telephone_number": "508-842-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "address_2": "PENTHOUSE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456405",
            "telephone_number": "508-842-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "CASELLO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-842-6898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "78863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RenovoMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.