Organization Active NPI

Boston Eyelid Surgery LLC

Doing business as Plastic Surgery Partners

  • Ophthalmology Physician
  • Wellesley, MA
National Provider Identifier
1154651396
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
223549 Issued in MA
Legal business name
BOSTON EYELID SURGERY LLC
Doing business as
Plastic Surgery Partners
Practice address
873 Worcester St
Wellesley, MA 02482-3714
Phone
(267) 258-5550
NPI assigned
Jan 11, 2010
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dr. Mitesh Kapadia, M.D., PH.D.
Title
President
Phone
(267) 258-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 223549 MA Primary

Addresses

Primary practice location

873 Worcester St
Wellesley, MA 02482-3714

Mailing address

172 School St
Wayland, MA 01778-4524

Other names 1

  • Plastic Surgery Partners Doing business as

National Provider Directory

National Provider Directory

Locations

873 Worcester St
Wellesley, MA 02482
Phone (781) 591-3414

873 Worcester St
Ste 4
Wellesley, MA 02482
Phone (781) 416-5200

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1154651396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SCHOOL ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823714",
            "telephone_number": "267-258-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON EYELID SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-258-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "223549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 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.