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COMMONWEALTH PLASTIC SURGERY LLC
NPI 1568854008
Surgery - Plastic and Reconstructive Surgery in Quincy, MA

Active since February 20, 2015
500 CONGRESS ST, SUITE B1, QUINCY, MA 02169(617) 472-6764(617) 770-9933 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Commonwealth Plastic Surgery Llc NPPES

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

COMMONWEALTH PLASTIC SURGERY LLC (NPI 1568854008) is a healthcare organization registered as a plastic and reconstructive surgery in Quincy, Massachusetts and active in the NPI registry since February 2015. The organization lists Genevieve B Broderick, Owner, as its authorized official.

NPPES Registry Identity

NPI1568854008
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameCOMMONWEALTH PLASTIC SURGERY LLC
Location Address500 CONGRESS ST, SUITE B1Quincy, MA 02169-0908
Mailing Address500 Congress St, Suite B1Quincy, MA 02169-0908 · (617) 472-6764 · Fax (617) 770-9933
Phone(617) 472-6764
Fax(617) 770-9933
Organization SubpartNo
Authorized OfficialGenevieve B BroderickOwner · (617) 472-6764
Enumeration DateFebruary 20, 2015
Last NPPES UpdateJune 24, 2015
✔ NPI 1568854008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MA · 233883
Definition
A surgeon who specializes in plastic and reconstructive surgery.
500 CONGRESS ST, Quincy, MA 02169
Open in Google Maps ↗

Other Identifiers 1

Medicare PINS100210913MA

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 Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. LISA BRANCATO CORKINS MD
Pediatrics
500 CONGRESS ST, SUITE 1F
QUINCY, MA 02169
Norfolk County (617) 471-3411
NOPSARAN CHAIMATTAYOMPOL, DMD, PC
Dentist (General Practice)
500 CONGRESS ST, SUITE#3E
QUINCY, MA 02169
Norfolk County (617) 328-0693
DR. BARBARA NANKIN DMD
Dentist (General Practice)
500 CONGRESS ST, SUITE 2D
QUINCY, MA 02169
Norfolk County (617) 471-9444
MRS. LINDA COLLINS M.A., CCC-A
Audiologist
500 CONGRESS ST
QUINCY, MA 02169
Norfolk County (617) 376-8840
DR. RIZKALLA A. MOUCHATI MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
500 CONGRESS ST, SUITE 1H
QUINCY, MA 02169
Norfolk County (617) 786-0066
GUY SPINELLI M.D.
Internal Medicine
500 CONGRESS ST, 3RD FLOOR
QUINCY, MA 02169
Norfolk County (617) 471-0033
ROBERT SALZMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 CONGRESS ST, 3RD FLOOR
QUINCY, MA 02169
Norfolk County (617) 471-0033
DR. GENEVIEVE B BRODERICK M.D.
Surgery (Plastic and Reconstructive Surgery)
500 CONGRESS ST, SUITE B1
QUINCY, MA 02169
Norfolk County (617) 472-6764

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 Commonwealth Plastic Surgery LLC's NPI number?

The NPI number for Commonwealth Plastic Surgery LLC is 1568854008. It was assigned to this organization in the NPPES registry on February 20, 2015.

Where is Commonwealth Plastic Surgery LLC located?

Commonwealth Plastic Surgery LLC is located at 500 Congress St Suite B1, Quincy, MA 02169. The listed phone number is (617) 472-6764.

What is Commonwealth Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

What insurance does Commonwealth Plastic Surgery LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Commonwealth Plastic Surgery LLC 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 Commonwealth Plastic Surgery LLC was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.