Organization Active NPI

Central Palm Beach Surgery Center, L.T.D.

  • Ambulatory Surgical Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1033434485
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
924 Issued in FL
Legal business name
CENTRAL PALM BEACH SURGERY CENTER, L.T.D.
Practice address
2047 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6522
Phone
(561) 721-6880
Fax
(561) 721-6885
NPI assigned
Mar 29, 2010
Last updated
Jun 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Jonathan Cutler, DPMNPI 1467400275
Title
Owner
Phone
(561) 721-6880

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
Ambulatory Surgical Clinic/Center 261QA1903X 924 FL Primary

Addresses

Primary practice location

2047 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6522

Mailing address

2047 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6522
Phone (561) 721-6880

Other identifiers 1

IdentifierTypeStateIssuer
75736500MedicaidFL

Other names 1

  • Central Palm Beach Surgery Center, LLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1022761Central Palm Beach Surgery Center, LTD2047 Palm Beach Lakes Blvd # 200, West Palm Beach, FL 33409Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDBCD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1033434485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096522",
            "telephone_number": "561-721-6880",
            "fax_number": "561-721-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096522",
            "telephone_number": "561-721-6880",
            "fax_number": "561-721-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PALM BEACH SURGERY CENTER, L.T.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-721-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75736500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Palm Beach Surgery Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.