Active NPI
New England Surgery Center LLC
- Clinic/Center
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- AJ3M
- Legal business name
- NEW ENGLAND SURGERY CENTER LLC
- Practice address
- 900 Cummings Ctr
Ste 122U
Beverly, MA 01915-6198 - Phone
- (978) 922-4670
- Fax
- (978) 922-4695
- NPI assigned
- Aug 24, 2010
- Last updated
- May 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Zachareas, MD
- Title
- Owner
- Phone
- (978) 232-9400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | AJ3M | MA | Primary |
Addresses
Primary practice location
900 Cummings Ctr
Ste 122U
Beverly, MA 01915-6198
Mailing address
900 Cummings Ctr
Ste 122U
Beverly, MA 01915-6198
Phone (978) 922-4670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110077789B | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110107000132 | MA | Part B Supplier - Ambulatory Surgical Center | 6204936990 | Practice locations: Beverly, MA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- New England Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2017863 | New England Surgery Center LLC | Certificate of waiver | Dec 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
900 Cummings Ctr
Ste 12
Beverly, MA 01915
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Beverly, MA
- NPI 1528000254
-
- Pain Medicine (Anesthesiology) Physician
- Beverly, MA
- NPI 1326215823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495152000000",
"number": "1043526353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR",
"address_2": "STE 122U",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "978-922-4670",
"fax_number": "978-922-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR",
"address_2": "STE 122U",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "978-922-4670",
"fax_number": "978-922-4695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-24",
"last_updated": "2017-05-19",
"status": "A",
"authorized_official_last_name": "ZACHAREAS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-232-9400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MA",
"license": "AJ3M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110077789B",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.