NPIMap

Organization Active NPI

Plastic Surgery of Southern New England, P.C.

  • Ambulatory Surgical Clinic/Center
  • Fall River, MA
National Provider Identifier
1871303602
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.
Practice address
775 Davol St Ste 2
Fall River, MA 02720-1028
Phone
(508) 567-3202
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Megan Tabicas
Title
Practice Manager
Phone
(508) 567-3202

Specialties & licenses 1

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

Addresses

Primary practice location

775 Davol St Ste 2
Fall River, MA 02720-1028

Mailing address

775 Davol St Ste 2
Fall River, MA 02720-1028
Phone (508) 567-3202

National Provider Directory

National Provider Directory
Tax ID family
Plastic Surgery of Southern New England PC2 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

775 Davol St
Ste 2
Fall River, MA 02720
Phone (508) 567-3202

Practitioners & affiliated clinicians

Practitioners 4

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": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1871303602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 DAVOL ST STE 2",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201028",
            "telephone_number": "508-567-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 DAVOL ST STE 2",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201028",
            "telephone_number": "508-567-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "TABICAS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "508-567-3202"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.