NPIMap

Organization Active NPI

Commonwealth Weight Loss, LLC

  • Surgery Physician
  • Stoneham, MA
National Provider Identifier
1417328501
Registry record updated Feb 4, 2016
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Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
221965 Issued in MA
Legal business name
COMMONWEALTH WEIGHT LOSS, LLC
Practice address
91 Montvale Ave
Suite 208-B
Stoneham, MA 02180-3623
Phone
(781) 418-1900
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Andras Sandor, M.D.
Title
President
Phone
(781) 418-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 221965 MA Primary

Addresses

Primary practice location

91 Montvale Ave
Suite 208-B
Stoneham, MA 02180-3623

Mailing address

91 Montvale Avenus
Suite 208-B
Stoneham, MA 02180
Phone (781) 418-1900

National Provider Directory

National Provider Directory

Locations

91 Montvale Ave
Ste 208B
Stoneham, MA 02180
Phone (781) 418-1900

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1417328501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVENUS",
            "address_2": "SUITE 208-B",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-418-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE",
            "address_2": "SUITE 208-B",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803623",
            "telephone_number": "781-418-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH WEIGHT LOSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SANDOR",
        "authorized_official_first_name": "ANDRAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-418-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "221965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.