Organization Active NPI

Beacon Facial Plastic Surgery, LLC

Doing business as BFPS

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Winchester, MA
National Provider Identifier
1184858532
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
226898 Issued in MA
Legal business name
BEACON FACIAL PLASTIC SURGERY, LLC
Doing business as
BFPS
Practice address
15 Dix St
Suite G
Winchester, MA 01890-1870
Phone
(617) 694-6678
NPI assigned
May 13, 2009
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
William Numa, M.D.NPI 1538157987
Title
Owner
Phone
(617) 697-5387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X 226898 MA Primary

Addresses

Primary practice location

15 Dix St
Suite G
Winchester, MA 01890-1870

Mailing address

15 Dix St
Suite G
Winchester, MA 01890-1870
Phone (617) 694-6678

Other names 1

  • BFPS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091125000013 MA Part B Supplier - Clinic/Group Practice 8022157452 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

38 Newbury St
Ste 601
Boston, MA 02116
Phone (617) 674-6678

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": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1184858532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DIX ST",
            "address_2": "SUITE G",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901870",
            "telephone_number": "617-694-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DIX ST",
            "address_2": "SUITE G",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901870",
            "telephone_number": "617-694-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON FACIAL PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "NUMA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-697-5387",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MA",
            "license": "226898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BFPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.

Verify at the official NPI Registry.