Active NPI
Plastic Surgery of Southern New England, P.C.
- Plastic Surgery Physician
- Fall River, MA
National Provider Identifier
1114199080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 045581
- Legal business name
- PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.
- Practice address
- 775 Davol St Ste 2
Fall River, MA 02720-1028 - Phone
- (508) 567-3202
- Fax
- (508) 678-1583
- NPI assigned
- Mar 31, 2008
- 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
- Megan Tabicas
- Title
- Practice Manager
- Phone
- (508) 567-3202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 045581 | MA | Primary |
Addresses
Primary practice location
775 Davol St Ste 2
Fall River, MA 02720-1028
Mailing address
775 Davol St Ste 2
Fall River, MA 02720-1028
Phone (508) 567-3202
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1114199080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 DAVOL ST STE 2",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027201028",
"telephone_number": "508-567-3202",
"fax_number": "508-678-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 DAVOL ST STE 2",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027201028",
"telephone_number": "508-567-3202",
"fax_number": "508-678-1583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "TABICAS",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "508-567-3202"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "MA",
"license": "045581",
"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 Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.