NPIMap

Organization Active NPI

Mass Lung & Allergy, PC.

  • Pulmonary Disease Physician
  • Leominster, MA
National Provider Identifier
1679734545
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MASS LUNG & ALLERGY, PC.
Practice address
100 Hospital Rd
Suite 2a
Leominster, MA 01453-2253
Phone
(978) 466-2692
Fax
(978) 466-4754
NPI assigned
Jun 23, 2008
Organization subpart
Yes
Parent organization
MASS LUNG & ALLERGY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Payam Aghassi, M.D.NPI 1093704298
Title
Owner Physician
Phone
(978) 466-4549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X MA
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X MA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X MA Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X MA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X MA

Addresses

Primary practice location

100 Hospital Rd
Suite 2a
Leominster, MA 01453-2253

Mailing address

PO Box 726
Leominster, MA 01453-0726
Phone (978) 466-2692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090213000102 MA Part B Supplier - Clinic/Group Practice 5698830347 Receives reassigned benefits from 28 practitioners
Practice locations: Charlton, MA; Concord, MA; Leominster, MA; Marlborough, MA; Webster, MA
O20120416000374 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698830347 Practice locations: Leominster, MA

National Provider Directory

National Provider Directory
Part of
Mass Lung Allergy PC

Locations

246 Maple St
Ste 1
Marlborough, MA 01752
Phone (508) 344-4144

33 Lyman St
Ste 400
Westborough, MA 01581
Phone (508) 898-0055

24 Lyman St
Ste 160
Westborough, MA 01581

89 Prescott St Ste 302
Worcester, MA 01605

102 Shore Dr
Ste 200
Worcester, MA 01605
Phone (508) 755-5283

85 Prescott St
Ste 302
Worcester, MA 01605
Phone (617) 307-1183

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1679734545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014530726",
            "telephone_number": "978-466-2692",
            "fax_number": "978-466-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 2A",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-466-2692",
            "fax_number": "978-466-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS LUNG & ALLERGY, PC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASS LUNG & ALLERGY, P.C.",
        "enumeration_date": "2008-06-23",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "AGHASSI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "978-466-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.