NORTHEAST PLASTIC SURGERY P.C. NPI 1154424323

NPI Information

  • NPI: 1154424323
  • Provider Name: NORTHEAST PLASTIC SURGERY, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 15 VILLAGE SQ
    CHELMSFORD, MA
    ZIP 01824
  • Phone: (978) 256-7697

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NPI Details

NORTHEAST PLASTIC SURGERY, P.C. is a specialist in Chelmsford, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHEAST PLASTIC SURGERY, P.C. NPI is 1154424323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 VILLAGE SQ
CHELMSFORD, MA
ZIP 01824-712
Phone: (978) 256-7697

The provider's authorized official is Jeffrey D Smith .
The authorized official title is President/owner and has the following contact phone number (978) 256-7697.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 4/15/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist204149MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1J22174OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
250982OTHERMASSACHUSETTSFALLON
321612OTHERMASSACHUSETTSHARVARD PILGRIM HEALTH
4M21500OTHERMASSACHUSETTSMEDICARE GROUP NUMBER
5204149OTHERMASSACHUSETTSTUFTS HEALTH PLAN
622763OTHERMARYLANDNEIGHBORHOOD HEALH
73208079MEDICAIDMASSACHUSETTS

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: 11/21/2025

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