NORTHEAST UROLOGIC SURGERY P.C. NPI 1336437128

NPI Information

  • NPI: 1336437128
  • Provider Name: NORTHEAST UROLOGIC SURGERY, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 231 SUTTON ST
    STE 1D
    NORTH ANDOVER, MA
    ZIP 01845
  • Phone: (978) 686-3877

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NPI Details

NORTHEAST UROLOGIC SURGERY, P.C. is a specialist in North Andover, 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 UROLOGIC SURGERY, P.C. NPI is 1336437128. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

231 SUTTON ST
STE 1D
NORTH ANDOVER, MA
ZIP 01845-620
Phone: (978) 686-3877
Fax: (978) 686-9586

The provider's authorized official is Steven R Previte .
The authorized official title is President and has the following contact phone number (978) 686-3877.

The enumeration date for this NPI number is 7/14/2011 and was last updated on 7/14/2011.

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
1174400000XSpecialistMASSACHUSETTSYes

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
1M12943OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD MA
299904764MEDICAIDNEW HAMPSHIRE
3RE6252MEDICARE PINNEW HAMPSHIRE
4M12943MEDICARE PINMASSACHUSETTS
59719911MEDICAIDMASSACHUSETTS

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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