NPIMap

Organization Active NPI

Palm Beach Gardens Regional Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1003205196
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PALM BEACH GARDENS REGIONAL SURGERY CENTER LLC
Practice address
11030 Rca Center Dr
3001
Palm Beach Gardens, FL 33410-4276
Phone
(561) 392-3341
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Isaac Verbukh, MD
Title
Owner President
Phone
(561) 392-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11030 Rca Center Dr
3001
Palm Beach Gardens, FL 33410-4276

Mailing address

398 Camino Gardens Blvd
102
Boca Raton, FL 33432-5827
Phone (561) 392-3341

National Provider Directory

National Provider Directory

Locations

11030 Rca Center Dr
Ste 3015
Palm Beach Gardens, FL 33410
Phone (561) 360-1317

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1003205196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD",
            "address_2": "102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-392-3341",
            "fax_number": "561-392-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR",
            "address_2": "3001",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-392-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH GARDENS REGIONAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "VERBUKH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "561-392-3341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.