PEMBROOKE SQUARE ENT ASSOCIATES, LLC
NPI 1336321462
Otolaryngology in Waldorf, MD

Active since November 30, 2007
11355 PEMBROOKE SQ STE 108, WALDORF, MD 20603(301) 645-4419(301) 645-7006 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pembrooke Square Ent Associates, Llc NPPES

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

PEMBROOKE SQUARE ENT ASSOCIATES, LLC (NPI 1336321462) is a healthcare organization registered as an otolaryngology in Waldorf, Maryland and active in the NPI registry since November 2007. The organization lists Gary R Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1336321462
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NamePEMBROOKE SQUARE ENT ASSOCIATES, LLC
Location Address11355 PEMBROOKE SQ STE 108Waldorf, MD 20603-4805
Mailing Address11355 Pembrooke Sq Ste 108Waldorf, MD 20603-4805 · (301) 645-4419 · Fax (301) 645-7006
Fax(301) 645-7006
Organization SubpartNo
Authorized OfficialGary R MasonOwner · (301) 645-4419
Enumeration DateNovember 30, 2007
NPI 1336321462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in MD · D0020369
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
11355 PEMBROOKE SQ STE 108, Waldorf, MD 20603

Other Identifiers 2

Medicare UPINC62631MD
Medicare PIN697MMD

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

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
11355 PEMBROOKE SQ STE 108
WALDORF, MD 20603
Nurse Practitioner (Family)
11355 PEMBROOKE SQ STE 108
WALDORF, MD 20603
Clinic/Center
11355 PEMBROOKE SQ STE 108
WALDORF, MD 20603
Clinic/Center
11355 PEMBROOKE SQ STE 108
WALDORF, MD 20603
Counselor (Mental Health)
11355 PEMBROOKE SQ STE 108
WALDORF, MD 20603

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 Pembrooke Square Ent Associates, LLC's NPI number?

The NPI number for Pembrooke Square Ent Associates, LLC is 1336321462. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Pembrooke Square Ent Associates, LLC located?

Pembrooke Square Ent Associates, LLC is located at 11355 Pembrooke Sq Ste 108, Waldorf, MD 20603. The listed phone number is (301) 645-4419.

What is Pembrooke Square Ent Associates, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Pembrooke Square Ent Associates, LLC was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.