Organization Active NPI

New England Surgery Center LLC

  • Clinic/Center
  • Beverly, MA
National Provider Identifier
1043526353
Registry record updated May 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
AJ3M Issued in MA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Zachareas, MDNPI 1528000254
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110077789BMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 22C0001079
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2017863New England Surgery Center LLC900 Cummings Center Suite 122U, Beverly, MA 01915Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.