Organization Active NPI

Surgical Assistants of Boynton Beach, LLC

  • Surgical Physician Assistant
  • Greenacres, FL
National Provider Identifier
1134329352
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL ASSISTANTS OF BOYNTON BEACH, LLC
Practice address
4020 S 57TH Ave
Suite 204
Greenacres, FL 33463-4302
Phone
(561) 432-5035
Fax
(888) 714-5190
NPI assigned
Jul 25, 2007
Last updated
Feb 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Dr. Joseph B. Chalal, M.D.NPI 1962454082
Title
President
Phone
(561) 733-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

4020 S 57TH Ave
Suite 204
Greenacres, FL 33463-4302

Mailing address

4020 S 57TH Ave
Suite 204
Greenacres, FL 33463-4302
Phone (561) 432-5035

National Provider Directory

National Provider Directory

Locations

4020 S 57th Ave
Ste 204
Greenacres, FL 33463
Phone (561) 432-5035

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1134329352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 S 57TH AVE",
            "address_2": "SUITE 204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634302",
            "telephone_number": "561-432-5035",
            "fax_number": "888-714-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 S 57TH AVE",
            "address_2": "SUITE 204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634302",
            "telephone_number": "561-432-5035",
            "fax_number": "888-714-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS OF BOYNTON BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "CHALAL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-733-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.