Active NPIOrganization

Breakwater Anesthesia, INC.

Nurse Anesthetist, Certified Registered in Beverly, Massachusetts

NPI Number1356819791
Practice location
900 Cummings Ctr Ste 117T, Beverly, MA 01915-6183
Fax
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Last updated
January 8, 2019

Breakwater Anesthesia, INC. is a healthcare organization based in Beverly, MA. Breakwater Anesthesia, INC. practices in Beverly, MA. The NPI Number for Breakwater Anesthesia, INC. is 1356819791. The current practice location address for Breakwater Anesthesia, INC. is 900 Cummings Ctr Ste 117T, Beverly, MA 01915-6183 and can be reached out via phone at 617-922-5655.

Provider Profile Details

NPI Number
1356819791
Provider Name
Breakwater Anesthesia, INC.
Provider Entity Type
Organization
Address
900 Cummings Ctr Ste 117T, Beverly, MA 01915-6183
Phone Number
617-922-5655
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Organization Subpart
No
Authorized Official
Jacob Bevilacqua, CRNA · Co-Owner · 617-922-5655
Provider Enumeration Date
November 4, 2018
Last Update Date
January 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Cummings Ctr Ste 117T
Beverly, MA 01915-6183
Zip
01915-6183
Phone Number
617-922-5655
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
7 Elwell St Unit 2
Gloucester, MA 01930-2905
City
Gloucester
State
MA
Zip
01930-2905
Phone Number
617-922-5655

License Information

Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · 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 Breakwater Anesthesia, INC.?

The NPI number of Breakwater Anesthesia, INC. is 1356819791. It was assigned on November 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Breakwater Anesthesia, INC.?

Breakwater Anesthesia, INC. is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X).

Where does Breakwater Anesthesia, INC. practice?

The practice location is 900 Cummings Ctr Ste 117T, Beverly, MA 01915-6183. The office can be reached at 617-922-5655 (phone).

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 1356819791 directly on the NPPES registry website.

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