CENTRAL MASS ORAL AND MAXILLOFACIAL SURGERY, P.C. (NPI# 1629176623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629176623 |
| Entity Type | Organization |
| Organization Name | CENTRAL MASS ORAL AND MAXILLOFACIAL SURGERY, P.C. |
| Practice Address |
2 Jungle Rd Leominster MA 01453 |
| Mailing Address |
2 Jungle Rd Leominster MA 01453-5208 |
| Practice Telephone | 9785348300 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | DR. CARMINE A. COLARUSSO (PRESIDENT) |
| Authorized Official Telephone | 9785348300 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
2 JUNGLE RD |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730163320 | Carmine Colarusso | Specialist | 2 Jungle Rd, Leominster, MA 01453 | 2005-12-06 |
| 1356784375 | Mikhail Yurevich Kobakov | Dentist | 2 Jungle Rd, Leominster, MA 01453 | 2013-04-09 |
| 1740455153 | Shant Baran | Dentist | 2 Jungle Rd, Leominster, MA 01453-5208 | 2008-04-25 |
| 1538143128 | James F. Connors II | Dentist | 2 Jungle Rd, Leominster, MA 01453-5208 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184856452 | Martin D. Salvi | Specialist | 118 Lancaster St., Hannaford Plaza, Leominster, MA 01453 | 2009-08-19 |
| 1730163320 | Carmine Colarusso | Specialist | 2 Jungle Rd, Leominster, MA 01453 | 2005-12-06 |
| 1285631325 | Linda Caci | Specialist | 60 Hospital Road, Leominster, MA 01453-0000 | 2005-07-05 |
| 1538162821 | Steven A Manalan | Specialist | 100 Hospital Road, Suite 3c, Leominster, MA 01453 | 2005-05-31 |
| 1356902506 | Linda Sue Trombi | Specialist | 100 Erdman Way, Leominster, MA 01453-1804 | 2019-06-27 |
| 1760961106 | Kaitlyn O'connor | Specialist | 100 Erdman Way, Leominster, MA 01453-1804 | 2018-08-07 |
| 1144706987 | Michelle Herrmann | Specialist | 100 Erdman Way, Leominster, MA 01453-1804 | 2018-07-16 |
| 1871079616 | Samantha Marie Sweeney | Specialist | 100 Erdman Way, Leominster, MA 01453-1804 | 2018-07-16 |
| 1487103164 | Cathleen Connors | Specialist | 100 Erdman Way, Leominster, MA 01453-1804 | 2016-09-23 |
| 1386027043 | Laurie Caisse | Specialist | 100 Erdman Way, Leominster, MA 01453-1804 | 2015-06-30 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on CENTRAL MASS ORAL AND MAXILLOFACIAL SURGERY, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.