Active NPI
Andover Health Partners PC
- Dermatology Physician
- Beverly, MA
National Provider Identifier
1194634345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ANDOVER HEALTH PARTNERS PC
- Practice address
- 50 Dodge St
Beverly, MA 01915-1711 - Phone
- (917) 767-1104
- NPI assigned
- Sep 3, 2026
- 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
- Zaka Shafiq
- Title
- Authorized Official
- Phone
- (917) 767-1104
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Urology Physician | 208800000X |
Addresses
Primary practice location
50 Dodge St
Beverly, MA 01915-1711
Mailing address
30 High St Ste 1
North Andover, MA 01845-2620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1194634345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HIGH ST STE 1",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018452620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 DODGE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151711",
"telephone_number": "917-767-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDOVER HEALTH PARTNERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "SHAFIQ",
"authorized_official_first_name": "ZAKA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "917-767-1104"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.