Mavis W. Jaworski, M.D.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

151523 Issued in MA

Legal business name

MAVIS W. JAWORSKI, M.D.,P.C.

Practice address

25 Hale St
Beverly, MA 01915-5268

Phone

(978) 921-5885

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mavis W Jaworski, M.D.NPI 1154483931

Title

Owner

Phone

(978) 921-5885

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Mavis Webster Jaworski, MD

  • Family Medicine Physician
  • Beverly, MA
  • NPI 1154483931
  Authorized official Same address or phone

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1396926630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 232C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156126",
            "telephone_number": "978-988-6799",
            "fax_number": "978-998-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HALE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155268",
            "telephone_number": "978-921-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVIS W. JAWORSKI, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "MAVIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-921-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "151523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M16982",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Massimi
• Elias Massoud, MD
• Dashley Matos
• Maura F. McGrane M.D., P.C.
• Maura McGrane, MD, PC
• Robert B Maximos, M.D.
• William Frederick Mayers, M.D.
• Youm John Mayola
• Karolina Mazgaj
• Kyle McBrierty, LMHC

• Family Medicine Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.