NPIMap

Organization Active NPI

Orthopaedic Surgery Associates PA

  • Orthopaedic Surgery Physician
  • Boynton Beach, FL
National Provider Identifier
1104865088
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SURGERY ASSOCIATES PA
Practice address
2828 S Seacrest Blvd
Boynton Beach, FL 33435-7944
Phone
(561) 395-2117
Fax
(561) 742-3583
NPI assigned
Jun 6, 2006
Last updated
Sep 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Dr. Brandon J Luskin, MDNPI 1104868744
Title
Vice President
Phone
(561) 395-2117

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: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2828 S Seacrest Blvd
Boynton Beach, FL 33435-7944

Mailing address

2828 S Seacrest Blvd
Boynton Beach, FL 33435-7944
Phone (561) 395-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000180 FL Part B Supplier - Clinic/Group Practice 8123911518 Receives reassigned benefits from 40 practitioners
Practice locations: West Palm Beach, FL; Delray Beach, FL; Deerfield Beach, FL; Boynton Beach, FL; Boca Raton, FL; Atlantis, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

9868 S State Road 7
Boynton Beach, FL 33472
Phone (561) 333-1335

9868 S State Road 7
Ste 204
Boynton Beach, FL 33472

2828 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 395-2117

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1104865088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-395-2117",
            "fax_number": "561-742-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-395-2117",
            "fax_number": "561-742-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "LUSKIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-395-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.