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NORTH SHORE EAR, NOSE & THROAT ASSOCIATES, PC
NPI 1619940780
Otolaryngology in Salem, MA

Active since February 09, 2006
55 HIGHLAND AVE, SALEM, MA 01970(978) 745-6601(978) 744-4872 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Shore Ear, Nose & Throat Associates, Pc NPPES

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

NORTH SHORE EAR, NOSE & THROAT ASSOCIATES, PC (NPI 1619940780) is a healthcare organization registered as an otolaryngology in Salem, Massachusetts and active in the NPI registry since February 2006. The organization lists Charles J Leidner, President, as its authorized official.

NPPES Registry Identity

NPI1619940780
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNORTH SHORE EAR, NOSE & THROAT ASSOCIATES, PC
Location Address55 HIGHLAND AVESalem, MA 01970-2100
Mailing Address55 Highland AveSalem, MA 01970-2100 · (978) 745-6601 · Fax (978) 744-4872
Phone(978) 745-6601
Fax(978) 744-4872
Organization SubpartNo
Authorized OfficialCharles J LeidnerPresident · (978) 745-6601
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJune 9, 2008
✔ NPI 1619940780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
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.
55 HIGHLAND AVE, Salem, MA 01970
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Other Identifiers 7

Other34543MA · Fallon Group Number
Medicare ID-Type UnspecifiedM13205MA · Medicare Group Number
Other942871MA · Aetna Group Number
OtherC14552MA · Rr Medicare Group Number
OtherM13205MA · Blue Shield Group Number
Medicaid9719032MA
Other701493MD · Tufts Group Number

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Ear, Nose & Throat Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to North Shore Ear, Nose & Throat Associates, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Otolaryngology10
Qualified Audiologist9

Clinicians, nearest first (19)

Stephen Brauninger
Qualified Audiologist
NPI 1104918978
55 HIGHLAND AVE SUITE 201
Salem, MA 01970
(978) 745-6601
✔ Accepts MedicareSame address
Kristin Bresnahan
Qualified Audiologist
NPI 1396857827
55 HIGHLAND AVE SUITE 201
Salem, MA 01970
(978) 745-6601
✔ Accepts MedicareSame address
Jacqueline Connor, AU. D.
Qualified Audiologist
NPI 1457443129
55 HIGHLAND AVE SUITE 201
Salem, MA 01970
(978) 745-6601
✔ Accepts MedicareSame address
David Chrzanowski, M.D.
Otolaryngology
NPI 1891758488
104 ENDICOTT ST SUITE 100
Danvers, MA 01923
(978) 745-6601
✔ PECOS✔ Accepts Medicare2.8 mi
James Demetroulakos, MD
Otolaryngology
NPI 1326011180
104 ENDICOTT ST SUITE 100
Danvers, MA 01923
(978) 745-6601
✔ PECOS✔ Accepts Medicare2.8 mi
Allen Feng, MD
Otolaryngology
NPI 1114266426
104 ENDICOTT ST STE 100
Danvers, MA 01923
(978) 745-6601
✔ PECOS✔ Accepts Medicare2.8 mi
Jordan Glicksman, MD
Otolaryngology
NPI 1124479282
104 ENDICOTT ST STE 100
Danvers, MA 01923
(978) 745-6601
✔ PECOS✔ Accepts Medicare2.8 mi
Richard Mugge
Otolaryngology
NPI 1174513386
104 ENDICOTT ST SUITE 100
Danvers, MA 01923
(978) 745-6601
✔ PECOS✔ Accepts Medicare2.8 mi
Gonzalo Verdugo, MD
Otolaryngology
NPI 1841388436
104 ENDICOTT ST SUITE 100
Danvers, MA 01923
(978) 745-6601
✔ PECOS✔ Accepts Medicare2.8 mi
Philip Ryan Camilon, M.D.
Otolaryngology
NPI 1285049510
104 ENDICOTT ST STE 100
Danvers, MA 01923
(978) 745-6601
✔ PECOS✔ Accepts Medicare2.8 mi
Maribeth Deltorchio
Qualified Audiologist
NPI 1154634426
104 ENDICOTT ST SUITE 100
Danvers, MA 01923
(978) 745-6601
✔ Accepts Medicare2.8 mi
Katie Kirleis, AU.D.
Qualified Audiologist
NPI 1902156078
104 ENDICOTT ST SUITE 100
Danvers, MA 01923
(978) 745-6601
✔ Accepts Medicare2.8 mi
David Lesnik, MD
Otolaryngology
NPI 1871564831
1 MONTVALE AVE SUITE 203
Stoneham, MA 02180
(617) 279-0971
✔ PECOS✔ Accepts Medicare10 mi
Kathryn D'angelo, AU.D.
Qualified Audiologist
NPI 1841709292
1 BLACKBURN DR
Gloucester, MA 01930
(978) 283-6888
✔ Accepts Medicare15 mi
Carleton Corrales, M.D.
Otolaryngology
NPI 1376814525
45 FRANCIS ST DIVISION OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Boston, MA 02115
(617) 642-3804
✔ PECOS✔ Accepts Medicare16 mi
Kassandra Condon, AU.D.
Qualified Audiologist
NPI 1255954657
198 MASSACHUSETTS AVE STE 103
North Andover, MA 01845
(978) 685-7550
✔ Accepts Medicare17 mi
Maria Tobias
Qualified Audiologist
NPI 1215529532
24 MORRILL PL
Amesbury, MA 01913
(978) 462-9628
✔ Accepts Medicare23 mi
Amy Flamenbaum, MS
Qualified Audiologist
NPI 1922405992
55 LAKE AVE N AUDIOLOGY DEPARTMENT, LEVEL A
Worcester, MA 01655
(508) 334-8726
✔ Accepts Medicare47 mi
Kevin Grafmiller
Otolaryngology
NPI 1063944635
200 UCLA MEDICAL PLZ STE 550
Los Angeles, CA 90095
(310) 206-6688
✔ PECOS✔ Accepts Medicare2,613 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Associates, PC's NPI number?

The NPI number for North Shore Ear, Nose & Throat Associates, PC is 1619940780. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is North Shore Ear, Nose & Throat Associates, PC located?

North Shore Ear, Nose & Throat Associates, PC is located at 55 Highland Ave, Salem, MA 01970. The listed phone number is (978) 745-6601.

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

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

Is North Shore Ear, Nose & Throat Associates, PC enrolled in Medicare?

Yes. North Shore Ear, Nose & Throat Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Ear, Nose & Throat Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to North Shore Ear, Nose & Throat Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (10) and Qualified Audiologist (9). Of these, 3 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from Anthem Blue Cross and Blue Shield list North Shore Ear, Nose & Throat Associates, PC 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 Associates, PC was last updated on June 9, 2008. 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.