Organization Active NPI

Nasa Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Melbourne, FL
National Provider Identifier
1013738152
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NASA SURGERY CENTER, LLC
Practice address
1995 W Nasa Blvd
Melbourne, FL 32904-2346
Phone
(321) 863-6985
NPI assigned
Oct 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Deep Patel
Title
Cfo
Phone
(321) 863-6985

Specialties & licenses 1

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

Addresses

Primary practice location

1995 W Nasa Blvd
Melbourne, FL 32904-2346

Mailing address

1995 W Nasa Blvd
Melbourne, FL 32904-2346
Phone (321) 863-6985

Other names 1

  • NASA Surgery Center, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1013738152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 W NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042346",
            "telephone_number": "321-863-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 W NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042346",
            "telephone_number": "321-863-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEEP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "321-863-6985"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NASA Surgery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.