HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC
NPI 1104507854
Otolaryngology - Facial Plastic Surgery in Boston, MA

Q: What is Hadlock Center For Facial Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Active since July 26, 2023

200 HIGH ST, BOSTON, MA 02110(631) 998-3495(631) 288-2447 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Hadlock Center For Facial Plastic Surgery Pc NPPES

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

HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC (NPI 1104507854) is a healthcare organization registered as a facial plastic surgery in Boston, Massachusetts and active in the NPI registry since July 2023. The organization lists Theresa Hadlock, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1104507854

Entity TypeOrganization

Primary Taxonomy207YS0123X

Legal Business NameHADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC

Location Address200 HIGH STBoston, MA 02110-3036

Mailing AddressPo Box 12234Hauppauge, NY 11788-0864 · (631) 699-2462 · Fax (631) 288-2447

Phone(631) 998-3495

Fax(631) 288-2447

Organization SubpartNo

Authorized OfficialTheresa HadlockOwner/physician · (631) 998-3495

Enumeration DateJuly 26, 2023

NPPES CertifiedJuly 26, 2023

✔ NPI 1104507854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

Definition

An otolaryngologist who specializes in facial plastic surgery.

200 HIGH ST, Boston, MA 02110

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hadlock Center For Facial Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hadlock Center For Facial Plastic Surgery PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Theresa Hadlock, M.D.

Otolaryngology

NPI 1578554549

200 HIGH ST FL 5
Boston, MA 02110

(617) 221-6909

✔ PECOS✔ Accepts MedicareSame address

Julia Mellon, FNP-C

Nurse Practitioner

NPI 1134667769

243 CHARLES ST
Boston, MA 02114

(617) 573-3641

✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hadlock Center For Facial Plastic Surgery PC's NPI number?

The NPI number for Hadlock Center For Facial Plastic Surgery PC is 1104507854. It was assigned to this organization in the NPPES registry on July 26, 2023.

Where is Hadlock Center For Facial Plastic Surgery PC located?

Hadlock Center For Facial Plastic Surgery PC is located at 200 High St, Boston, MA 02110. The listed phone number is (631) 998-3495.

What is Hadlock Center For Facial Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Hadlock Center For Facial Plastic Surgery PC enrolled in Medicare?

Yes. Hadlock Center For Facial Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hadlock Center For Facial Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Hadlock Center For Facial Plastic Surgery PC, in Nurse Practitioner and Otolaryngology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hadlock Center For Facial Plastic Surgery PC accept?

Health plans from WellSense Health Plan list Hadlock Center For Facial Plastic Surgery PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hadlock Center For Facial Plastic Surgery PC was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.