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BEVERLY PODIATRY INC NPI 1417134859


NPI Information

NPI: 1417134859
Provider Name: BEVERLY PODIATRY, INC

Other Name: BEVERLY PODIATRY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
900 CUMMINGS CTR
SUITE 309V
BEVERLY, MA
ZIP 01915
Phone: (978) 922-0288
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BEVERLY PODIATRY, INC is a durable medical equipment medical supplies in Beverly, MA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BEVERLY PODIATRY, INC NPI is 1417134859. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Beverly Podiatry.

The provider's business location address is:

900 CUMMINGS CTR
SUITE 309V
BEVERLY, MA
ZIP 01915-198
Phone: (978) 922-0288
Fax: (978) 927-6265

The provider's authorized official is Timothy Tobin .
The authorized official title is Podiatrist/owner and has the following contact phone number (978) 922-0288.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 5/11/2023.


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
1213E00000XPodiatrist1930MASSACHUSETTSNo
2332B00000XDurable Medical Equipment & Medical Supplies1930MASSACHUSETTSYes

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
10357928MEDICAIDMASSACHUSETTS

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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