NPIMap

Organization Active NPI

Oral Surgery South-Qualitas, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Norwell, MA
National Provider Identifier
1689448656
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
ORAL SURGERY SOUTH-QUALITAS, PC
Doing business as
Oral Surgery South-Qualitas, PC
Practice address
80 Washington St Ste N-51
Norwell, MA 02061-1742
Phone
(401) 263-9518
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Suzie Figueiredo
Title
VP of HR
Phone
(781) 253-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

80 Washington St Ste N-51
Norwell, MA 02061-1742

Mailing address

2 Commercial St
Suite 8
Sharon, MA 02067
Phone (401) 263-9518

Other practice location 1

24 Quincy Ave
Quincy, MA 02169-6712
Phone (401) 263-9518

Other practice location 2

49 Obery St Ste 8
Plymouth, MA 02360-2129
Phone (401) 263-9518

Other names 2

  • Oral Surgery South-Qualitas, PC Doing business as
  • Oral Surgery South Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821000689 MA Part B Supplier - Clinic/Group Practice 9032657036 Receives reassigned benefits from 6 practitioners
Practice locations: Quincy, MA; Plymouth, MA; Norwell, MA

National Provider Directory

National Provider Directory

Locations

49 Obery St
Ste 8
Plymouth, MA 02360
Phone (401) 263-9518

24 Quincy Ave
Quincy, MA 02169
Phone (401) 263-9518

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1689448656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COMMERCIAL ST",
            "address_2": "SUITE 8",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "02067",
            "telephone_number": "401-263-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE N-51",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611742",
            "telephone_number": "401-263-9518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021696712",
            "country_code": "US",
            "telephone_number": "401-263-9518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Obery St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602129",
            "country_code": "US",
            "telephone_number": "401-263-9518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORAL SURGERY SOUTH-QUALITAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "FIGUEIREDO",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_title_or_position": "VP OF HR",
        "authorized_official_telephone_number": "781-253-1001"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery South-Qualitas, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral Surgery South",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Oral Surgery South",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Oral Surgery South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.