North Shore Wellness Institute PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NORTH SHORE WELLNESS INSTITUTE PC

Practice address

50 Dodge St
Beverly, MA 01915-1711

Phone

(917) 767-1104

NPI assigned

Aug 18, 2026

Organization subpart

No

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

Authorized official

Name

Zaka Shafiq

Title

Secretary and Treasurer

Phone

(917) 767-1104

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1336054808",
    "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": "NORTH SHORE WELLNESS INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "SHAFIQ",
        "authorized_official_first_name": "ZAKA",
        "authorized_official_title_or_position": "SECRETARY AND TREASURER",
        "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": []
}

• North Shore Preventive Health Care, P.C.
• North Shore Psychiatry Center
• North Shore Retina PLLC
• North Shore Urological Assoc., Inc
• North Shore Vascular, P.C.
• North Suburban Hospitalists
• Northbound Counseling
• Northeast Arc, Inc.
• Northeast Behavioral Health Corporation
• Northeast Dermatology Associates, PC

• Dermatology Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.