NPIMap

Organization Active NPI

New England Orthopedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Peabody, MA
National Provider Identifier
1629475736
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEW ENGLAND ORTHOPEDIC SPECIALISTS, LLC
Practice address
4 Centennial Dr
Suite 201
Peabody, MA 01960-7935
Phone
(978) 531-0800
NPI assigned
Dec 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Douglas Halsted
Title
Partner
Phone
(978) 531-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4 Centennial Dr
Suite 201
Peabody, MA 01960-7935

Mailing address

4 Centennial Dr
Suite 201
Peabody, MA 01960-7935

Other identifiers 1

IdentifierTypeStateIssuer
9725547MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1629475736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CENTENNIAL DR",
            "address_2": "SUITE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CENTENNIAL DR",
            "address_2": "SUITE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607935",
            "telephone_number": "978-531-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ORTHOPEDIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "HALSTED",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "978-531-0800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9725547",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.