Active NPI
Aesthetic Plastic Surgery of North Shore PC
- Medical Specialty Clinic/Center
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 81524
- 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, 2014
- 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
- Dr. Anoush Hadaegh, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140228001135 | MA | Part B Supplier - Clinic/Group Practice | 1759511223 | Practice locations: Beverly, MA |
National Provider Directory
National Provider DirectoryLocations
900 Cummings Ctr
Ste 301U
Beverly, MA 01915
Phone (413) 222-2292
Interoperability endpoints
- 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.
-
- Plastic Surgery Physician
- Beverly, MA
- NPI 1053416800
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.