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LONGWOOD PLASTIC SURGERY P.C. NPI 1316000995


NPI Information

NPI: 1316000995
Provider Name: LONGWOOD PLASTIC SURGERY, P.C.
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 22D1080264

Address:
235 CYPRESS ST
SUITE 210
BROOKLINE, MA
ZIP 02445
Phone: (617) 383-6250
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LONGWOOD PLASTIC SURGERY, P.C. is a plastic surgery in Brookline, MA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. LONGWOOD PLASTIC SURGERY, P.C. NPI is 1316000995. The provider is registered as an organization entity type.

The provider's business location address is:

235 CYPRESS ST
SUITE 210
BROOKLINE, MA
ZIP 02445-776
Phone: (617) 383-6250
Fax: (617) 383-6255

The provider's authorized official is Donald Jay Morris .
The authorized official title is President and has the following contact phone number (617) 383-6250.

The CLIA number assigned to this NPI record is 22D1080264 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 9/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalNo
2208200000XPlastic SurgeryMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M18020OTHERMASSACHUSETTSBCBS GROUP NUMBER
29714430MEDICAIDMASSACHUSETTS
30026491OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
4688749OTHERMASSACHUSETTSTUFTS ASSOCIATED HEALTH PLANS
530212264MEDICARE PINNEW HAMPSHIRE
6M21040MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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