Individual provider Active NPI

John C Cataudella, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Norwell, MA
National Provider Identifier
1770505166
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
18923 Issued in MA
Practice address
80 Washington St Ste N-51
Norwell, MA 02061-1742
Phone
(781) 871-1677
Fax
(781) 982-4094
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 18923 MA Primary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 18461 MA

Addresses

Primary practice location

80 Washington St Ste N-51
Norwell, MA 02061-1742

Mailing address

80 Washington St # 1
BLD N-51
Norwell, MA 02061-1740
Phone (781) 871-1677

Other names 1

  • Dr. Robert E Lincoln Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060511000079 MA Practitioner - Oral Surgery 7315958949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral Surgery South-Qualitas, PCGroup PAC ID 9032657036, 6 clinicians

Practice addresses (Care Compare)

80 Washington St
Suite N 51
Norwell, MA 02061-1742
Phone (781) 871-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18923MAMDOral and Maxillofacial Pathology Dentist
18461MAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery South-Qualitas, PC CurrentSince Jul 7, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients

Locations

80 Washington St
Ste N-51
Norwell, MA 02061
Phone (781) 871-1677

49 Obery St
Plymouth, MA 02360
Phone (508) 746-1614

Interoperability endpoints

  • Direct secure messaging: jcataudella9738@direct.bmc.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770505166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST # 1",
            "address_2": "BLD N-51",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611740",
            "telephone_number": "781-871-1677",
            "fax_number": "781-982-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE N-51",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611742",
            "telephone_number": "781-871-1677",
            "fax_number": "781-982-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATAUDELLA",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": "18923",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": "18461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "LINCOLN",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.