Beverly Podiatry, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1930 Issued in MA

Legal business name

BEVERLY PODIATRY, INC

Practice address

900 Cummings Ctr
Suite 309V
Beverly, MA 01915-6198

Phone

(978) 922-0288

Fax

(978) 927-6265

NPI assigned

Jan 29, 2008

Last updated

May 11, 2023By 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. Timothy Tobin, DPMNPI 1760572234

Title

Podiatrist/Owner

Phone

(978) 922-0288

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Beverly Podiatry Other name

Locations

Practitioners 5

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.

• Timothy James Tobin, D.P.M.

  • Podiatrist
  • Beverly, MA
  • NPI 1760572234
  NPD Authorized official
• Rebecca Calder, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beverly, MA
  • NPI 1538666557
  NPD
• Lawrence Edward McGinness, D.P.M.

  • Podiatrist
  • Beverly, MA
  • NPI 1548245699
  NPD
• Matthew Peter, DPM

  • Foot Surgery Podiatrist
  • Beverly, MA
  • NPI 1477130896
  NPD
• Gregory M Van Ess, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salem, MA
  • NPI 1932213899
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1417134859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 309V",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "978-922-0288",
            "fax_number": "978-927-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 309V",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "978-922-0288",
            "fax_number": "978-927-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY PODIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "978-922-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "1930",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1930",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Podiatry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Beverly Podiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beverly Pathology Associates, Inc.
• Beverly Pathology Associates, P.C.
• Beverly Pediatric Assoicates
• Beverly Pediatrics Association
• Beverly Podiatry Inc. (Timothy Tobin D.P.M.)
• Beverly Radiology Associates, Inc.
• Beverly School for the Deaf (The Childrens Center for Communication)
• Beverly Shafer, MD, PC
• Beverly Surgical Associates Inc
• Matthew Bevilacqua

• Durable Medical Equipment & Medical Supplies in Beverly, MA
• Providers in Beverly, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.