Organization Active NPI

Martin Surgical Associates, LLC

  • Surgery Physician
  • Tamarac, FL
National Provider Identifier
1124584909
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MARTIN SURGICAL ASSOCIATES, LLC
Practice address
7421 N University Dr Ste 305
Tamarac, FL 33321-6102
Phone
(954) 233-0913
Fax
(954) 391-5011
NPI assigned
Feb 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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

Authorized official

Name
Dr. Jose A Martin, DO
Title
President
Phone
(954) 233-0913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

7421 N University Dr Ste 305
Tamarac, FL 33321-6102

Mailing address

7421 N University Dr Ste 305
Tamarac, FL 33321-6102
Phone (954) 233-0913

National Provider Directory

National Provider Directory

Locations

3001 NW 49th Ave
Ste 202
Lauderdale Lakes, FL 33313
Phone (954) 233-0913

7401 N University Dr
Ste 103
Tamarac, FL 33321
Phone (954) 233-0913

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681516800000",
    "number": "1124584909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR STE 305",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333216102",
            "telephone_number": "954-233-0913",
            "fax_number": "954-391-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR STE 305",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333216102",
            "telephone_number": "954-233-0913",
            "fax_number": "954-391-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-233-0913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

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