NPIMap

Organization Active NPI

Stuart H. Bentkover, MD PC

  • Facial Plastic Surgery Physician
  • Worcester, MA
National Provider Identifier
1760594469
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
38152 Issued in MA
Legal business name
STUART H. BENTKOVER, MD PC
Doing business as
Bentkover Facial Plastic Surgery&Laser Center
Practice address
123 Summer St
Suit 675
Worcester, MA 01608-1216
Phone
(598) 363-6500
Fax
(508) 363-6501
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Dr. Stuart Howard Bentkover, M.D.
Title
President
Phone
(508) 363-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X 38152 MA Primary

Addresses

Primary practice location

123 Summer St
Suit 675
Worcester, MA 01608-1216

Mailing address

123 Summer St
Suit 675
Worcester, MA 01608-1216
Phone (598) 363-6500

Other identifiers 1

IdentifierTypeStateIssuer
2039486MedicaidMA

Other names 1

  • Bentkover Facial Plastic Surgery&Laser Center Doing business as

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.

Locations

123 Summer St
Ste 675
Worcester, MA 01608
Phone (508) 363-6500

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1760594469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "SUIT 675",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "598-363-6500",
            "fax_number": "508-363-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "SUIT 675",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "598-363-6500",
            "fax_number": "508-363-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART H. BENTKOVER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "BENTKOVER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-363-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MA",
            "license": "38152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039486",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bentkover Facial Plastic Surgery&Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.