Active NPI
Bestself Primary Care & Med Spa LLC
- Primary Care Clinic/Center
- Lawrence, MA
National Provider Identifier
1134952641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2024
- 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
- Pavli Ani
- Title
- NP
- Phone
- (978) 560-9039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Lawrence, MA
- NPI 1124620604
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.