UNIVERSITY PLASTIC SURGERY ASSOCIATES INC
NPI 1093882615
Plastic Surgery in Providence, RI

Active since November 29, 2006
120 DUDLEY STREET, SUITE #201, PROVIDENCE, RI 02905(401) 521-9290(401) 521-9297 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Plastic Surgery Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY PLASTIC SURGERY ASSOCIATES INC (NPI 1093882615) is a healthcare organization registered as a plastic surgery in Providence, Rhode Island and active in the NPI registry since November 2006. The organization lists Jack R Bevivino, President, as its authorized official.

NPPES Registry Identity

NPI1093882615
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameUNIVERSITY PLASTIC SURGEONS INC
Location Address120 DUDLEY STREET, SUITE #201Providence, RI 02905
Mailing Address120 Dudley Street, Suite #201Providence, RI 02905 · (401) 521-9290 · Fax (401) 521-9297
Fax(401) 521-9297
Organization SubpartNo
Authorized OfficialJack R BevivinoPresident · (401) 521-9290
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1093882615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in RI · RIMD05259
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
120 DUDLEY STREET, Providence, RI 02905

Other Names 1

Doing Business AsUniversity Plastic Surgery Associates Inc

Other Identifiers 3

Other21126RI · Bcbs
Other1300124RI · United Health Care
Medicaid9002112RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
120 DUDLEY STREET, SUITE 201
PROVIDENCE, RI 02905
Acupuncturist
120 DUDLEY STREET, SUITE103
PROVIDENCE, RI 02905
Technician/Technologist (Ocularist)
120 DUDLEY STREET, SUITE 202
PROVIDENCE, RI 02905
Plastic Surgery
120 DUDLEY STREET, SUITE #201
PROVIDENCE, RI 02905
Ophthalmology (Retina Specialist)
120 DUDLEY STREET, SUITE 303
PROVIDENCE, RI 02905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Plastic Surgeons Inc's NPI number?

The NPI number for University Plastic Surgeons Inc is 1093882615. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as University Plastic Surgery Associates Inc.

Where is University Plastic Surgeons Inc located?

University Plastic Surgeons Inc is located at 120 Dudley Street Suite #201, Providence, RI 02905. The listed phone number is (401) 521-9290.

What is University Plastic Surgeons Inc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for University Plastic Surgeons Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.