Genesiscare USA of Florida LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Practice address

1411 N Flagler Dr
Suite 5100
West Palm Beach, FL 33401-3404

Phone

(561) 650-0815

Fax

(561) 650-0819

NPI assigned

Sep 16, 2015

Organization subpart

Yes

Parent organization

GENESISCARE USA INCAs reported in NPPES

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

Authorized official

Name

Shaden Marzouk

Title

President

Phone

(239) 931-7254

Specialties & licenses 1

Addresses

Other names 1

• Daniel K Hellerstein MD Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arturo Balandra, MD

  • Urology Physician
  • Bonita Springs, FL
  • NPI 1982760369

  Urology

  NPD
• Wendy Bernard

  • Nurse Practitioner
  • North Miami, FL
  • NPI 1871979138
  NPD
• Krishna Priya Raju, MD

  • Pulmonary Disease Physician
  • Fort Myers, FL
  • NPI 1922058940
  NPD
• Dawn Maria Scarzella, M.D.

  • Urology Physician
  • Coral Springs, FL
  • NPI 1598792848

  Urology

  NPD
• Michael A Simon, MD

  • Urology Physician
  • Miramar, FL
  • NPI 1700885761

  Urology

  NPD
• Nabiha Verfaillie, PA

  • Physician Assistant
  • Wellington, FL
  • NPI 1417252941
  NPD

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1083083307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SE 8TH TER STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903213",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR",
            "address_2": "SUITE 5100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-650-0815",
            "fax_number": "561-650-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7254"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel K Hellerstein MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daniel K Hellerstein MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Generation One Inc
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• Genesis Medical LLC
• Genesis Rehab Services
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC
• Nikerson Geneve, D.O.
• Gennaro Sagliocca, MD, PA

• All providers in West Palm Beach, FL
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.