Organization Active NPI

Dha Endoscopy LLC

  • Anesthesiology Physician
  • Stoneham, MA
National Provider Identifier
1851921555
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DHA ENDOSCOPY LLC
Practice address
91 Montvale Ave Ste 103
Stoneham, MA 02180-3649
Phone
(781) 835-2111
NPI assigned
Jan 22, 2020
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Julie B Hill
Title
Administrator
Phone
(781) 835-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

91 Montvale Ave Ste 103
Stoneham, MA 02180-3649

Mailing address

91 Montvale Ave Ste 103
Stoneham, MA 02180-3649
Phone (781) 835-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201000565 MA Part B Supplier - Clinic/Group Practice 4082614979 Receives reassigned benefits from 65 practitioners
Practice locations: Stoneham, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dha Endoscopy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

Practitioners & affiliated clinicians

Practitioners 75

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.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1851921555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE STE 103",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803649",
            "telephone_number": "781-835-2111",
            "fax_number": "781-438-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE STE 103",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803649",
            "telephone_number": "781-835-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHA ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "781-835-2111"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.