Active NPIIndividual providerSole proprietor

Dr. Justin R Fernandes, MD

Plastic Surgery in Burlington, Massachusetts

NPI Number1427201011
Practice location
41 Mall RD, Burlington, MA 01805-0001
Fax
—
Last updated
December 3, 2020

Justin Reid Fernandes is a Plastic Surgery based in Burlington, MA. Justin Reid Fernandes practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Justin Reid Fernandes is 1427201011 and holds a License No. 236964 (MA). The current practice location address for Justin Reid Fernandes is 41 Mall RD, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8000.

Provider Profile Details

NPI Number
1427201011
Provider Name
Justin Reid Fernandes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
41 Mall RD, Burlington, MA 01805-0001
Phone Number
781-744-8000
Primary Taxonomy
Plastic Surgery · 208200000X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2008
Last Update Date
December 3, 2020
Certification Date
December 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-8000
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8000

License Information

License Number (1)
236964
License State (1)
MA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
249272
License State (2)
MA
Taxonomy (2)
Plastic Surgery · 208200000X · 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 Dr. Justin R Fernandes, MD?

The NPI number of Dr. Justin R Fernandes, MD is 1427201011. It was assigned on October 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Justin R Fernandes, MD?

Dr. Justin R Fernandes, MD is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in MA under license number 236964.

Where does Dr. Justin R Fernandes, MD practice?

The practice location is 41 Mall RD, Burlington, MA 01805-0001. The office can be reached at 781-744-8000 (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 1427201011 directly on the NPPES registry website.

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