Provider Demographics
NPI:1891753869
Name:LENTINI, ERNEST JOHN (DO)
Entity Type:Individual
Prefix:
First Name:ERNEST JOHN
Middle Name:
Last Name:LENTINI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-2297845OtherPHCS/MULTI-PLAN
071650OtherTUFTS/TMP
04-2297845OtherHCVM
1313263OtherCIGNA
MA1891753869Medicaid
4211664OtherAETNA
04-2297845OtherGIC/UNICARE
MAJ10130OtherBCBSMA
04-2297845OtherUNITED HEALTH CARE
1891753869OtherFALLON
7531OtherHARVARD PILGRIM
04-2297845OtherTRICARE
MA1891753869OtherNEIGHBORHOOD HEALTH PLAN
S400265800Medicare PIN