Organization Active NPI

North Shore Preventive Health Care, P.C.

  • Internal Medicine Physician
  • Beverly, MA
National Provider Identifier
1255691556
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45310 Issued in MA
Legal business name
NORTH SHORE PREVENTIVE HEALTH CARE, P.C.
Practice address
75 Herrick St
Suite 116
Beverly, MA 01915-5903
Phone
(978) 502-8850
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Dr. Roy Leland Ruff, M.D.
Title
President
Phone
(978) 502-8850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45310 MA Primary
Pulmonary Disease Physician 207RP1001X 45310 MA

Addresses

Primary practice location

75 Herrick St
Suite 116
Beverly, MA 01915-5903

Mailing address

75 Herrick St
Suite 116
Beverly, MA 01915-5903
Phone (978) 502-8850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1255691556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 116",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-502-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 116",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-502-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PREVENTIVE HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "LELAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-502-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "45310",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "45310",
            "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 May 21, 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.