Active NPIOrganization

Beverly Podiatry INC.

Healthcare Provider in Beverly, Massachusetts

NPI Number1073978987
Practice location
900 Cummings Ctr, Suite 309V, Beverly, MA 01915-6198
Fax
978-927-6265
Last updated
May 11, 2023

Beverly Podiatry INC. is a healthcare organization based in Beverly, MA. Beverly Podiatry INC. practices in Beverly, MA. The NPI Number for Beverly Podiatry INC. is 1073978987 and holds a License No. 1930 (MA). The current practice location address for Beverly Podiatry INC. is 900 Cummings Ctr, Suite 309V, Beverly, MA 01915-6198 and can be reached out via phone at 978-922-0288 and via fax at 978-927-6265.

Provider Profile Details

NPI Number
1073978987
Provider Name
Beverly Podiatry INC.
Provider Entity Type
Organization
Address
900 Cummings Ctr, Suite 309V, Beverly, MA 01915-6198
Phone Number
978-922-0288
Fax Number
978-927-6265
Primary Taxonomy
Healthcare Provider · 213ES0131X
Organization Subpart
No
Authorized Official
Dr. Timothy J Tobin, DPM · Owner · 978-922-0288
Other Names
Timothy Tobin D.p.m. (Doing Business As)
Provider Enumeration Date
December 18, 2015
Last Update Date
May 11, 2023
Certification Date
May 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Cummings Ctr
Suite 309V
Beverly, MA 01915-6198
Zip
01915-6198
Phone Number
978-922-0288
Fax Number
978-927-6265
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
900 Cummings Ctr
Suite 309V
Beverly, MA 01915-6198
City
Beverly
State
MA
Zip
01915-6198
Phone Number
978-922-0288
Fax Number
978-927-6265

License Information

License Number (1)
1930
License State (1)
MA
License Number (2)
1930
License State (2)
MA
Taxonomy (2)
· 213ES0131X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Beverly Podiatry INC.?

The NPI number of Beverly Podiatry INC. is 1073978987. It was assigned on December 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Beverly Podiatry INC.?

Beverly Podiatry INC. is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in MA under license number 1930.

Where does Beverly Podiatry INC. practice?

The practice location is 900 Cummings Ctr, Suite 309V, Beverly, MA 01915-6198. The office can be reached at 978-922-0288 (phone) or 978-927-6265 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073978987 directly on the NPPES registry website.

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