NPIMap

Organization Active NPI

Sports and Orthopedic Center PA

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1053765271
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPORTS AND ORTHOPEDIC CENTER PA
Practice address
9325 Glades Rd Ste 205
Boca Raton, FL 33434-3988
Phone
(954) 481-9942
Fax
(954) 481-9917
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Manish Gupta, MDNPI 1770687386
Title
Owner
Phone
(954) 481-9942

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
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X FL Primary

Addresses

Primary practice location

9325 Glades Rd Ste 205
Boca Raton, FL 33434-3988

Mailing address

2001 W Sample Rd
Suite 322
Deerfield Beach, FL 33064-1342
Phone (954) 481-9942

National Provider Directory

National Provider Directory

Locations

7545 W Boynton Beach Blvd
Ste 202
Boynton Beach, FL 33437
Phone (954) 481-9942

Practitioners & affiliated clinicians

Practitioners 4

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": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1053765271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W SAMPLE RD",
            "address_2": "SUITE 322",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641342",
            "telephone_number": "954-481-9942",
            "fax_number": "954-481-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD STE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "954-481-9942",
            "fax_number": "954-481-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHOPEDIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-481-9942",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.