Active NPI
Universal Kidney Center of Margate Coral Springs LLC
- Clinic/Center
- Margate, FL
National Provider Identifier
1043306822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- UNIVERSAL KIDNEY CENTER OF MARGATE CORAL SPRINGS LLC
- Practice address
- 2800 N State Road 7
Margate, FL 33063-5728 - Phone
- (954) 770-6540
- Fax
- (954) 318-4086
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elmo Angelo Bartolome
- Title
- President
- Phone
- (954) 770-6540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2800 N State Road 7
Margate, FL 33063-5728
Mailing address
2004 NE 49TH St
Ft Lauderdale, FL 33308-4524
Phone (954) 958-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061206000510 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0749289452 | Practice locations: Margate, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Universal Kidney Center of Margate-Coral Springs LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 1, 2008
- Medicare certification status
- Active
- Dialysis stations
- 30
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221782400000",
"number": "1043306822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 NE 49TH ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084524",
"telephone_number": "954-958-9300",
"fax_number": "954-318-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N STATE ROAD 7",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635728",
"telephone_number": "954-770-6540",
"fax_number": "954-318-4086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL KIDNEY CENTER OF MARGATE CORAL SPRINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2008-09-19",
"status": "A",
"authorized_official_last_name": "BARTOLOME",
"authorized_official_first_name": "ELMO",
"authorized_official_middle_name": "ANGELO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-770-6540",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.