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BREAKWATER ANESTHESIA, INC.
NPI 1356819791
Nurse Anesthetist, Certified Registered in Beverly, MA

Active since November 04, 2018
900 CUMMINGS CTR STE 117T, BEVERLY, MA 01915(617) 922-5655 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2019, Nov 4, 2018 (2 updates tracked since 2018).

About Breakwater Anesthesia, Inc. NPPES

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

BREAKWATER ANESTHESIA, INC. (NPI 1356819791) is a healthcare organization registered as a nurse anesthetist, certified registered in Beverly, Massachusetts and active in the NPI registry since November 2018. The organization lists Jacob Bevilacqua, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1356819791
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameBREAKWATER ANESTHESIA, INC.
Location Address900 CUMMINGS CTR STE 117TBeverly, MA 01915-6183
Mailing Address7 Elwell St Unit 2Gloucester, MA 01930-2905 · (617) 922-5655
Phone(617) 922-5655
Organization SubpartNo
Authorized OfficialJacob BevilacquaCo-owner · (617) 922-5655
Enumeration DateNovember 4, 2018
Last NPPES UpdateJanuary 8, 20192 updates tracked since enumeration
✔ NPI 1356819791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
900 CUMMINGS CTR STE 117T, Beverly, MA 01915
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Other Identifiers 2

Other1992048870Npi - Jacob Bevilacqua
Other1679916142Npi - Patrick Keating

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

Other Providers at the Same Location NPPES 2

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

MARCO PALAZZOLO NP-C
Nurse Practitioner
900 CUMMINGS CTR STE 117T
BEVERLY, MA 01915
Essex County (978) 232-9400
NORA KURBAJ PA-C
Physician Assistant
900 CUMMINGS CTR STE 117T
BEVERLY, MA 01915
Essex County (978) 232-9400

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 Breakwater Anesthesia, Inc.'s NPI number?

The NPI number for Breakwater Anesthesia, Inc. is 1356819791. It was assigned to this organization in the NPPES registry on November 4, 2018.

Where is Breakwater Anesthesia, Inc. located?

Breakwater Anesthesia, Inc. is located at 900 Cummings Ctr Ste 117T, Beverly, MA 01915. The listed phone number is (617) 922-5655.

What is Breakwater Anesthesia, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Breakwater Anesthesia, Inc. was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.