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NORTH SHORE EAR, NOSE & THROAT
NPI 1134526429
Otolaryngology - Facial Plastic Surgery in Danvers, MA

Active since December 02, 2014CLIA 22D2120957 · Waiver
104 ENDICOTT ST, SUIRE 100, DANVERS, MA 01923(978) 745-6601 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Shore Ear, Nose & Throat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE EAR, NOSE & THROAT (NPI 1134526429) is a healthcare organization registered as a facial plastic surgery in Danvers, Massachusetts and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Richard Mugge, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1134526429
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameNORTH SHORE EAR, NOSE & THROAT
Location Address104 ENDICOTT ST, SUIRE 100Danvers, MA 01923-3623
Mailing Address104 Endicott St, Suire 100Danvers, MA 01923-3623 · (978) 745-6601
Phone(978) 745-6601
Organization SubpartNo
Authorized OfficialRichard MuggeTreasurer · (978) 745-6601
Enumeration DateDecember 2, 2014
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1134526429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MA · 229239
Definition
An otolaryngologist who specializes in facial plastic surgery.
104 ENDICOTT ST, Danvers, MA 01923
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2120957

North Shore Ear, Nose & Throat · Danvers, MA
Active · expires Oct 26, 2026
CLIA Number22D2120957
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorJames Demetroulakos
Laboratory Phone(978) 745-6601
Laboratory LocationNorth Shore Ear, Nose & Throat104 Endicott Street, Suite 100, Danvers, MA 01923
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARUNA L GUPTA MD
Family Medicine
104 ENDICOTT ST, SUITE 104
DANVERS, MA 01923
Essex County (978) 882-6700
DR. FREDERICK OLIVER BUCKLEY JR. M.D.
Surgery
104 ENDICOTT ST, SUITE 200
DANVERS, MA 01923
Essex County (978) 882-6868
JESSICA L DUPUIS MPAS PAC
Physician Assistant
104 ENDICOTT ST, SUITE 100
DANVERS, MA 01923
Essex County (978) 745-6601
MARIBETH DELTORCHIO
Audiologist
104 ENDICOTT ST, SUITE 100
DANVERS, MA 01923
Essex County (978) 745-6601
DR. WILLIAM VASILOS KASTRINAKIS MD
Surgery
104 ENDICOTT ST, SUITE 200
DANVERS, MA 01923
Essex County (978) 882-6868
DR. RICHARD E MUGGE
Otolaryngology
104 ENDICOTT ST, SUITE 100
DANVERS, MA 01923
Essex County (978) 745-6601
MR. LARRY PHILIP GOLDBERG MD
Surgery
104 ENDICOTT ST, SUITE 200
DANVERS, MA 01923
Essex County (978) 882-6868
MRS. CHRISTIINA MARISSA MURPHY PA-C
Physician Assistant (Surgical)
104 ENDICOTT ST, SUITE 200
DANVERS, MA 01923
Essex County (978) 882-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Shore Ear, Nose & Throat's NPI number?

The NPI number for North Shore Ear, Nose & Throat is 1134526429. It was assigned to this organization in the NPPES registry on December 2, 2014.

Where is North Shore Ear, Nose & Throat located?

North Shore Ear, Nose & Throat is located at 104 Endicott St Suire 100, Danvers, MA 01923. The listed phone number is (978) 745-6601.

What is North Shore Ear, Nose & Throat's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Does North Shore Ear, Nose & Throat hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2120957) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Shore Ear, Nose & Throat accept?

Health plans from Anthem Blue Cross and Blue Shield list North Shore Ear, Nose & Throat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Shore Ear, Nose & Throat was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.