Organization Active NPI

Bestself Primary Care & Med Spa LLC

  • Primary Care Clinic/Center
  • Lawrence, MA
National Provider Identifier
1134952641
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BESTSELF PRIMARY CARE & MED SPA LLC
Practice address
354 Merrimack St Ste 351
Lawrence, MA 01843-1785
Phone
(978) 560-9039
NPI assigned
Aug 21, 2024
Last updated
Oct 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Authorized official

Name
Pavli Ani
Title
NP
Phone
(978) 560-9039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

354 Merrimack St Ste 351
Lawrence, MA 01843-1785

Mailing address

354 Merrimack St Ste 351
Lawrence, MA 01843-1785
Phone (978) 560-9039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120002711 MA Part B Supplier - Clinic/Group Practice 9830624311 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, MA

National Provider Directory

National Provider Directory

Locations

354 Merrimack St
Ste 351
Lawrence, MA 01843
Phone (978) 560-9039

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": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728691200000",
    "number": "1134952641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 351",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431785",
            "telephone_number": "978-560-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 351",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431785",
            "telephone_number": "978-560-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTSELF PRIMARY CARE & MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A",
        "authorized_official_last_name": "ANI",
        "authorized_official_first_name": "PAVLI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "978-560-9039"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.