MARK A AVERSA MD NPI 1205806908

NPI Information

  • NPI: 1205806908
  • Provider Name: MARK A AVERSA, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 116 BELMONT ST
    WORCESTER, MA
    ZIP 01605
  • Phone: (508) 791-4300

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NPI Details

Mark A Aversa, MD is an obstetrics gynecology in Worcester, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mark A Aversa, MD NPI is 1205806908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

116 BELMONT ST
WORCESTER, MA
ZIP 01605-964
Phone: (508) 791-4300
Fax: (508) 756-8777

The enumeration date for this NPI number is 1/25/2006 and was last updated on 4/29/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology53840MASSACHUSETTSYes

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
13005461MEDICAIDMASSACHUSETTS
2J05195MEDICARE PINMASSACHUSETTS
3A58258MEDICARE UPINMASSACHUSETTS

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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