Organization Active NPI

Atlantic Plastic Surgery Associates PA

  • Ambulatory Surgical Clinic/Center
  • Portsmouth, NH
National Provider Identifier
1164646071
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
02579 Issued in NH
Legal business name
ATLANTIC PLASTIC SURGERY ASSOCIATES PA
Practice address
100 Griffin Rd
Suite B
Portsmouth, NH 03801-7113
Phone
(603) 431-8819
Fax
(603) 427-2540
NPI assigned
Apr 12, 2007
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Lawrence N. Gray, M.D.NPI 1871527945
Title
Medical Director
Phone
(603) 431-8819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 02579 NH Primary

Addresses

Primary practice location

100 Griffin Rd
Suite B
Portsmouth, NH 03801-7113

Mailing address

100 Griffin Rd
Suite B
Portsmouth, NH 03801-7113
Phone (603) 431-8819

Other identifiers 1

IdentifierTypeStateIssuer
00000686MedicaidNH

National Provider Directory

National Provider Directory

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1164646071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRIFFIN RD",
            "address_2": "SUITE B",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017113",
            "telephone_number": "603-431-8819",
            "fax_number": "603-427-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRIFFIN RD",
            "address_2": "SUITE B",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017113",
            "telephone_number": "603-431-8819",
            "fax_number": "603-427-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PLASTIC SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "603-431-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "02579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000686",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.