Organization Active NPI

Plastic Surgery of Southern New England, P.C.

  • Plastic and Reconstructive Surgery Physician
  • Fall River, MA
National Provider Identifier
1073920211
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
226970 Issued in MA
Legal business name
PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.
Practice address
300 Hanover St
Suite 1-a
Fall River, MA 02720-5444
Phone
(508) 567-3202
Fax
(508) 678-1537
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Russell Babbitt III, M.D.
Title
Partner
Phone
(508) 567-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 226970 MA Primary

Addresses

Primary practice location

300 Hanover St
Suite 1-a
Fall River, MA 02720-5444

Mailing address

300 Hanover St
Suite 1-a
Fall River, MA 02720-5444
Phone (508) 567-3202

National Provider Directory

National Provider Directory
Tax ID family
Plastic Surgery of Southern New England PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Hanover St
Ste 1A
Fall River, MA 02720
Phone (508) 677-0700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1073920211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "SUITE 1-A",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-567-3202",
            "fax_number": "508-678-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST",
            "address_2": "SUITE 1-A",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205444",
            "telephone_number": "508-567-3202",
            "fax_number": "508-678-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "BABBITT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "508-567-3202",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "226970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.