Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breakwater Anesthesia, Inc

Organization Certified Registered Nurse Anesthetist · NPI 1356819791

Breakwater Anesthesia, Inc is a Certified Registered Nurse Anesthetist in Beverly, Massachusetts. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Cummings Ctr Ste 117T
Beverly, MA 01915-6183
Phone: (617) 922-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1356819791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Bevilacqua — Co-Owner · (617) 922-5655
NPI enumeratedNovember 4, 2018
Last updated in NPPESJanuary 8, 2019
Mailing address7 Elwell St Unit 2, Gloucester, MA 01930-2905

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