Organization Active NPI

Elite Cardiovascular Surgeons of South Florida

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1003026915
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME31942 Issued in FL
Legal business name
ELITE CARDIOVASCULAR SURGEONS OF SOUTH FLORIDA
Practice address
1880 E Commercial Blvd
Suite 6
Fort Lauderdale, FL 33308-3747
Phone
(954) 771-8495
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ruben A. Ungaro, M.D.NPI 1669480281
Title
Doctor
Phone
(954) 771-8495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X ME31942 FL Primary

Addresses

Primary practice location

1880 E Commercial Blvd
Suite 6
Fort Lauderdale, FL 33308-3747

Mailing address

1880 E Commercial Blvd
Suite 6
Fort Lauderdale, FL 33308-3747
Phone (954) 771-8495

Other identifiers 1

IdentifierTypeStateIssuer
K4851OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000182 FL Part B Supplier - Clinic/Group Practice 0143126961 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1003026915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD",
            "address_2": "SUITE 6",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-771-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD",
            "address_2": "SUITE 6",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-771-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARDIOVASCULAR SURGEONS OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "UNGARO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-771-8495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME31942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K4851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.