Organization Active NPI

Aesthetic Plastic Surgery of North Shore PC

  • Medical Specialty Clinic/Center
  • Beverly, MA
National Provider Identifier
1053740241
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
81524 Issued in MA
Legal business name
AESTHETIC PLASTIC SURGERY OF NORTH SHORE PC
Practice address
900 Cummings Ctr Ste 301U
Beverly, MA 01915-6181
Phone
(413) 222-2292
NPI assigned
Nov 7, 2013
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Dr. Anoush Hadaegh, M.D.NPI 1053416800
Title
Plastic Surgeon
Phone
(413) 222-2292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 81524 MA Primary

Addresses

Primary practice location

900 Cummings Ctr Ste 301U
Beverly, MA 01915-6181

Mailing address

900 Cummings Ctr Ste 301U
Beverly, MA 01915-6181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140228001135 MA Part B Supplier - Clinic/Group Practice 1759511223 Practice locations: Beverly, MA

National Provider Directory

National Provider Directory

Locations

900 Cummings Ctr
Ste 301U
Beverly, MA 01915
Phone (413) 222-2292

Interoperability endpoints

  • Direct secure messaging: hadaegh.anoush.apsns@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 1

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": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1053740241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 301U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 301U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156181",
            "telephone_number": "413-222-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC PLASTIC SURGERY OF NORTH SHORE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "HADAEGH",
        "authorized_official_first_name": "ANOUSH",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "413-222-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "81524",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.