Active NPI
North Shore Preventive Health Care, P.C.
- Internal Medicine Physician
- Beverly, MA
National Provider Identifier
1255691556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 45310
- 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, 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. Roy Leland Ruff, M.D.
- Title
- President
- Phone
- (978) 502-8850
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- North Shore Pain Management
- North Shore Pain Management, LLC
- North Shore Pain Management, LLC
- North Shore Pain Treatment LLC
- North Shore Pediatric Dental Associates
- North Shore Psychiatry Center
- North Shore Retina PLLC
- North Shore Urological Assoc., Inc
- North Shore Vascular, P.C.
- North Shore Wellness Institute PC
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.