Organization Active NPI

Colden Ear Nose Throat & Allergy LLC

  • Otolaryngology Physician
  • Newburyport, MA
National Provider Identifier
1871903872
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
COLDEN EAR NOSE THROAT & ALLERGY LLC
Practice address
1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875
Phone
(978) 997-1550
Fax
(978) 688-8292
NPI assigned
Apr 30, 2014
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Brittney Borg
Title
Office Administrator
Phone
(978) 997-1561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875

Mailing address

1 Wallace Bashaw Way
Suite 3002
Newburyport, MA 01950-3875
Phone (978) 997-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150402000280 MA Part B Supplier - Clinic/Group Practice 3678890597 Receives reassigned benefits from 6 practitioners
Practice locations: Haverhill, MA; Newburyport, MA

National Provider Directory

National Provider Directory

Locations

62 Brown St
Ste 301
Haverhill, MA 01830
Phone (978) 374-6770

Practitioners & affiliated clinicians

Practitioners 8

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": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1871903872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-997-1550",
            "fax_number": "978-688-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 3002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-997-1550",
            "fax_number": "978-688-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDEN EAR NOSE THROAT & ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "BORG",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "978-997-1561"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

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