PLASTIC SURGERY SERVICES PC NPI 1336254150

NPI Information

  • NPI: 1336254150
  • Provider Name: PLASTIC SURGERY SERVICES PC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 496 LYNNFIELD ST
    STE 103 WEST MEDICAL BLDG
    LYNN, MA
    ZIP 01904
  • Phone: (781) 592-3632

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NPI Details

PLASTIC SURGERY SERVICES PC is a plastic surgery in Lynn, 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. PLASTIC SURGERY SERVICES PC NPI is 1336254150. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

496 LYNNFIELD ST
STE 103 WEST MEDICAL BLDG
LYNN, MA
ZIP 01904
Phone: (781) 592-3632
Fax: (781) 595-7777

The provider's authorized official is Sheldon Joel Sevinor .
The authorized official title is President and has the following contact phone number (781) 592-3632.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 9/4/2012.

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
1208200000XPlastic Surgery37293MASSACHUSETTSYes

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
1702516OTHERTUFTS
2=========OTHERHARVARD PILGRIM HEALTH CA
3M13090MEDICARE ID-TYPE UNSPECIFIED
4D14267MEDICARE UPIN

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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