Organization Active NPI

Wellesley Cosmetic Surgery P.C.

  • Specialist
  • Wellesley, MA
National Provider Identifier
1154639458
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
152703 Issued in MA
Legal business name
WELLESLEY COSMETIC SURGERY P.C.
Practice address
332 Washington St
Suite 340
Wellesley, MA 02481-6219
Phone
(781) 239-0680
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Arthur A Shektman, MD
Title
President
Phone
(781) 239-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 152703 MA Primary

Addresses

Primary practice location

332 Washington St
Suite 340
Wellesley, MA 02481-6219

Mailing address

332 Washington St
Suite 340
Wellesley, MA 02481-6219
Phone (781) 239-0680

National Provider Directory

National Provider Directory

Locations

332 Washington St
Ste 340
Wellesley Hills, MA 02481
Phone (781) 239-0680

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1154639458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 340",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-239-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 340",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-239-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLESLEY COSMETIC SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "SHEKTMAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-239-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "152703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.