Organization Active NPI

Berkshire Facial Surgery Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Westfield, MA
National Provider Identifier
1285821447
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BERKSHIRE FACIAL SURGERY INC
Doing business as
Berkshire Facial Surgery Inc
Practice address
53 Southampton Road
Suite 5
Westfield, MA 01085-1382
Phone
(413) 562-1100
Fax
(413) 562-3653
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
BERKSHIRE FACIAL SURGERY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Stephen Joseph Paolella, DMD MDNPI 1770507782
Title
President
Phone
(413) 562-1100

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

53 Southampton Road
Suite 5
Westfield, MA 01085-1382

Mailing address

53 Southampton Road
Suite 5
Westfield, MA 01085-1382
Phone (413) 562-1100

Other identifiers 1

IdentifierTypeStateIssuer
X08683OtherMABCBS

Other names 1

  • Berkshire Facial Surgery Inc Doing business as

National Provider Directory

National Provider Directory
Part of
Berkshire Facial Surgery Inc

Locations

53 Southampton Rd
Ste 5
Westfield, MA 01085
Phone (413) 562-1100

Practitioners & affiliated clinicians

Practitioners 2

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1285821447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SOUTHAMPTON ROAD",
            "address_2": "SUITE 5",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851382",
            "telephone_number": "413-562-1100",
            "fax_number": "413-562-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SOUTHAMPTON ROAD",
            "address_2": "SUITE 5",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851382",
            "telephone_number": "413-562-1100",
            "fax_number": "413-562-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE FACIAL SURGERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKSHIRE FACIAL SURGERY INC",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "PAOLELLA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-562-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X08683",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkshire Facial Surgery Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.