BENTKOVER FACIAL PLASTIC SURGERY & LASER CENTER (NPI# 1659608180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659608180 |
Entity Type | Organization |
Organization Name | BENTKOVER FACIAL PLASTIC SURGERY & LASER CENTER |
Other Organization Name | DR. STUART H. BENTKOVER |
Practice Address |
92 Montvale Ave. Suite 3000 Stoneham MA 02180 |
Mailing Address |
5 Lantern Lane Worcester MA 01609 |
Practice Telephone | 5083636500 |
Practice Fax Number | 5083636501 |
Mailing Telephone | 5083636500 |
Mailing Fax Number | 5083636501 |
Enumeration Date | 2009-11-04 |
Last Update Date | 2009-11-04 |
Authorized Official Name | DR. STUART H. BENTKOVER (OWNER) |
Authorized Official Telephone | 5083636500 |
Authorized Official Credential | MA, FACS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
38152 | MA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Dr. Stuart H. Bentkover | Other Name - Individual/Organization |
Street Address |
92 MONTVALE AVE. SUITE 3000 |
City | STONEHAM |
State | MA |
Zip Code | 02180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912974163 | Jonathan Daniel Hall | Surgery | 92 Montvale Ave., Suite 3300, Stoneham, MA 02180 | 2006-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
Find all providers in zip 02180 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316006869 | Min S. Ahn, Md PC | Otolaryngology | 2 Connector Rd, Westborough, MA 01581-3969 | 2006-12-08 |
1285666719 | Frank P Fechner | Otolaryngology | 428 Shrewsbury St, Worcester, MA 01604-1661 | 2006-07-07 |
1689611295 | Ramsey Alsarraf | Otolaryngology | 69 Newbury St, The Newbury Center, Boston, MA 02116-3063 | 2006-06-01 |
1922076421 | Roger Allen Allcroft | Otolaryngology | 163 Conz St, Northampton, MA 01060-3848 | 2006-03-09 |
1689668915 | Central Ear Nose & Throat Assoc PC | Otolaryngology | 295 Lincoln St, Suite 101, Worcester, MA 01605-3639 | 2005-09-01 |
1134526429 | North Shore Ear, Nose & Throat | Otolaryngology | 104 Endicott St, Suire 100, Danvers, MA 01923-3623 | 2014-12-02 |
1750790663 | Nathan Jowett | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2014-08-05 |
1356682033 | Ent Surgery Associates, LLC | Otolaryngology | 725 Concord Ave, 2300, Cambridge, MA 02138-1040 | 2013-03-06 |
1376888255 | Bethany J. King, Md, LLC | Otolaryngology | 61 Locust St, Ste. 2, Northampton, MA 01060-2546 | 2012-12-04 |
1487717310 | Usama Sami Hamdan | Otolaryngology | 28 Martingale Ln, Westwood, MA 02090-2900 | 2006-12-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.