NPIMap

Organization Active NPI

Bentkover Facial Plastic Surgery & Laser Center

  • Facial Plastic Surgery Physician
  • Stoneham, MA
National Provider Identifier
1659608180
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
38152 Issued in MA
Legal business name
BENTKOVER FACIAL PLASTIC SURGERY & LASER CENTER
Practice address
92 Montvale Ave.
Suite 3000
Stoneham, MA 02180
Phone
(508) 363-6500
Fax
(508) 363-6501
NPI assigned
Nov 4, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Stuart H. Bentkover, MA, FACS
Title
Owner
Phone
(508) 363-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 38152 MA Primary

Addresses

Primary practice location

92 Montvale Ave.
Suite 3000
Stoneham, MA 02180

Mailing address

5 Lantern Lane
Worcester, MA 01609
Phone (508) 363-6500

Other names 1

  • Dr. Stuart H. Bentkover Other name

National Provider Directory

National Provider Directory
Tax ID family
Bentkover Facial Plastic Surgery Laser Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1659608180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LANTERN LANE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-363-6500",
            "fax_number": "508-363-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE.",
            "address_2": "SUITE 3000",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "508-363-6500",
            "fax_number": "508-363-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTKOVER FACIAL PLASTIC SURGERY & LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "BENTKOVER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-363-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, FACS"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MA",
            "license": "38152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Stuart H. Bentkover",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 4, 2009; 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.