Active NPI
Vein and Laser Center of New England PC
- Vascular Surgery Physician
- Plymouth, MA
National Provider Identifier
1942376009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- VEIN AND LASER CENTER OF NEW ENGLAND PC
- Practice address
- 45 Resnik Road
Suite 305
Plymouth, MA 02360 - Phone
- (508) 747-1333
- Fax
- (508) 747-2850
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Jean Sematones
- Title
- Office Manager
- Phone
- (508) 747-1333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
45 Resnik Road
Suite 305
Plymouth, MA 02360
Mailing address
45 Resnik Road
Suite 305
Plymouth, MA 02360
Phone (508) 747-1333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9264381 | Medicaid | MA | |
| 715157 | Other | TUFTS | |
| J20063 | Other | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365638400000",
"number": "1942376009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESNIK ROAD",
"address_2": "SUITE 305",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "508-747-1333",
"fax_number": "508-747-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RESNIK ROAD",
"address_2": "SUITE 305",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "508-747-1333",
"fax_number": "508-747-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN AND LASER CENTER OF NEW ENGLAND PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2013-04-11",
"status": "A",
"authorized_official_last_name": "SEMATONES",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "508-747-1333"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9264381",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "715157",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J20063",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.