Organization Active NPI

First Class OBGYN PA

  • Obstetrics & Gynecology Physician
  • Miramar, FL
National Provider Identifier
1003280546
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FIRST CLASS OBGYN PA
Practice address
1951 SW 172ND Ave Ste 212
Miramar, FL 33029-5613
Phone
(347) 622-0401
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Laviniu AnghelNPI 1023317500
Title
MD
Phone
(347) 622-0401

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1951 SW 172ND Ave Ste 212
Miramar, FL 33029-5613

Mailing address

3150 Inverness
Weston, FL 33332-1816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160411001090 FL Part B Supplier - Clinic/Group Practice 3476851320 Receives reassigned benefits from 2 practitioners
Practice locations: Miramar, FL; Weston, FL
O20250129002272 FL DME Supplier - Physician - Obstetrics/Gynecology 3476851320 Practice locations: Miramar, FL

National Provider Directory

National Provider Directory

Locations

1951 SW 172nd Ave
Ste 212
Miramar, FL 33029
Phone (954) 507-4494

10067 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 430-7777

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15759/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1003280546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 INVERNESS",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333321816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 212",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295613",
            "telephone_number": "347-622-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS OBGYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "ANGHEL",
        "authorized_official_first_name": "LAVINIU",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-622-0401"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.