Individual provider Active NPI

Angela Galette, SA-C

  • Surgical Physician Assistant
  • Coconut Creek, FL
National Provider Identifier
1053094714
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
4871 NW 22ND St
Coconut Creek, FL 33063-3868
Phone
(818) 237-6588
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

4871 NW 22ND St
Coconut Creek, FL 33063-3868

Mailing address

4871 NW 22ND St
Coconut Creek, FL 33063-3868
Phone (818) 237-6588

Other practice location 1

1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone (954) 355-4400

Other practice location 2

3536 N Federal Hwy Ste 102
Ft Lauderdale, FL 33308-6264
Phone (818) 237-6588

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agalette@browardentsvcs.com Broward ENT & Aesthetics

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ag Surgical Assist Group LLC Surgical CurrentSince Dec 10, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1053094714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 NW 22ND ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633868",
            "telephone_number": "818-237-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 NW 22ND ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633868",
            "telephone_number": "818-237-6588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333162510",
            "country_code": "US",
            "telephone_number": "954-355-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3536 N Federal Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333086264",
            "country_code": "US",
            "telephone_number": "818-237-6588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALETTE",
        "first_name": "ANGELA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agalette@browardentsvcs.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Broward ENT & Aesthetics",
            "address_1": "3536 N Federal Hwy Ste 102",
            "city": "Ft Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333086264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.