OrganizationActive
North Bay Ent & Audiology Group LLC
NPI 1073316485 · Otolaryngology Physician · Havre De Grace, MD
Provider details
- NPI number
- 1073316485
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Malvaso, Administrator(410) 879-9100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
456 Alliance St
Havre De Grace, MD 21078-3559
Phone: (410) 939-1819
Street-level locationGet directions
Mailing address
520 Upper Chesapeake Dr
Bel Air, MD 21014-4339
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.