Organization Active NPI

Hand and Plastic Surgery Specialists,Inc

  • Specialist
  • Wakefield, MA
National Provider Identifier
1922051481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
72907 Issued in MA
Legal business name
HAND AND PLASTIC SURGERY SPECIALISTS,INC
Practice address
300 Quannapowitt Pkwy
Wakefield, MA 01880-1314
Phone
(781) 245-7930
Fax
(781) 245-2368
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jonathan Daniel Hall, MDNPI 1912974163
Title
Owner/President
Phone
(781) 245-7930

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 72907 MA Primary

Addresses

Primary practice location

300 Quannapowitt Pkwy
Wakefield, MA 01880-1314

Mailing address

300 Quannapowitt Pkwy
Wakefield, MA 01880-1314
Phone (781) 245-7930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060607000065 MA Part B Supplier - Clinic/Group Practice 4284645375 Receives reassigned benefits from 1 practitioner
Practice locations: Stoneham, MA

National Provider Directory

National Provider Directory

Locations

92 Montvale Ave
Ste 3300
Stoneham, MA 02180
Phone (781) 245-7930

Practitioners & affiliated clinicians

Practitioners 1

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922051481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 QUANNAPOWITT PKWY",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801314",
            "telephone_number": "781-245-7930",
            "fax_number": "781-245-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 QUANNAPOWITT PKWY",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801314",
            "telephone_number": "781-245-7930",
            "fax_number": "781-245-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND AND PLASTIC SURGERY SPECIALISTS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "781-245-7930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "72907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.