NPIMap

Organization Active NPI

Longwood Plastic Surgery, P.C.

  • Ambulatory Surgical Clinic/Center
  • Brookline, MA
National Provider Identifier
1801047345
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LONGWOOD PLASTIC SURGERY, P.C.
Practice address
235 Cypress St
Suite 210
Brookline, MA 02445-6776
Phone
(617) 383-6250
Fax
(617) 383-6255
NPI assigned
Oct 2, 2008
Organization subpart
Yes
Parent organization
LONGWOOD PLASTIC SURGERY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Donald Jay Morris, M.D.NPI 1053300145
Title
President
Phone
(617) 383-6250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

235 Cypress St
Suite 210
Brookline, MA 02445-6776

Mailing address

235 Cypress St
Suite 210
Brookline, MA 02445-6776
Phone (617) 383-6250

Other identifiers 4

IdentifierTypeStateIssuer
0026491OtherMANEIGHBORHOOD HEALTH PLAN
688749OtherMATUFTS ASSOCIATED HEALTH PLANS
9714430MedicaidMA
M18020OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Part of
Longwood Plastic Surgery PC

Practitioners & affiliated clinicians

Practitioners 2

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1801047345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST",
            "address_2": "SUITE 210",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456776",
            "telephone_number": "617-383-6250",
            "fax_number": "617-383-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST",
            "address_2": "SUITE 210",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456776",
            "telephone_number": "617-383-6250",
            "fax_number": "617-383-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD PLASTIC SURGERY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGWOOD PLASTIC SURGERY, P.C.",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-383-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0026491",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ASSOCIATED HEALTH PLANS",
            "identifier": "688749",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9714430",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M18020",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.