Individual provider Active NPI

Adam Robert Consigli, MS, PA-C

  • Physician Assistant
  • Milford, MA
National Provider Identifier
1861881070
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5241 Issued in MA
Practice address
215 West St
Suite 6
Milford, MA 01757-2277
Phone
(508) 478-6363
Fax
(508) 478-0349
NPI assigned
Jan 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5241 MA Primary

Addresses

Primary practice location

215 West St
Suite 6
Milford, MA 01757-2277

Mailing address

215 West St
Suite 6
Milford, MA 01757-2277
Phone (508) 478-6363

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508000585 MA Order and Referring Only - Physician Assistant 2163786765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PA5241MAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1861881070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "address_2": "SUITE 6",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572277",
            "telephone_number": "508-478-6363",
            "fax_number": "508-478-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "address_2": "SUITE 6",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572277",
            "telephone_number": "508-478-6363",
            "fax_number": "508-478-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSIGLI",
        "first_name": "ADAM",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.