Organization Active NPI

Beverly Surgical Supplies Inc

Doing business as Beverly Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Peabody, MA
National Provider Identifier
1649227273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BEVERLY SURGICAL SUPPLIES INC
Doing business as
Beverly Medical Supplies Inc
Practice address
5 Elm St
Peabody, MA 01960-4405
Phone
(978) 922-1022
Fax
(978) 921-9150
NPI assigned
May 28, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Stephen John Jalbert
Title
President
Phone
(978) 922-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MA Primary

Addresses

Primary practice location

5 Elm St
Peabody, MA 01960-4405

Mailing address

5 Elm St
Peabody, MA 01960-4405
Phone (978) 922-1022

Other identifiers 1

IdentifierTypeStateIssuer
1540599MedicaidMA

Other names 1

  • BEVERLY MEDICAL SUPPLIES INC Doing business as

National Provider Directory

National Provider Directory

Locations

5 Elm St
Peabody, MA 01960
Phone (978) 922-1022

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649227273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELM ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604405",
            "telephone_number": "978-922-1022",
            "fax_number": "978-921-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ELM ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604405",
            "telephone_number": "978-922-1022",
            "fax_number": "978-921-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY SURGICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JALBERT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-1022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1540599",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY MEDICAL SUPPLIES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.