Active NPI
Atlantic Plastic Surgery Associates PA
- Ambulatory Surgical Clinic/Center
- Portsmouth, NH
National Provider Identifier
1164646071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 02579
- 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, 2012
- 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
- Dr. Lawrence N. Gray, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000686 | Medicaid | NH |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Plastic Surgery Physician
- Portsmouth, NH
- NPI 1871527945
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
- Atlantic Chiropractic Center
- Atlantic Coast Surgical Suites, LLC (Portsmouth Surgery Center)
- Atlantic Internal Medicine & Pediatrics, Inc
- Atlantic Pathology, PA
- Atlantic Physical Therapy & Weightloss Center
- Atlantic Pulmonary Associates PLLC
- Atlantic Surgical PLLC
- Peter G Attenborough, PA-C
- Stephanie Ayan, APRN
- Baturay Aydemir
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.