Organization Active NPI

Colorectal Surgery & Aesthetics Institute Inc

  • Colon & Rectal Surgery Physician
  • Aventura, FL
National Provider Identifier
1154587202
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME20802 Issued in FL
Legal business name
COLORECTAL SURGERY & AESTHETICS INSTITUTE INC
Practice address
21150 Biscayne Blvd
Suite 400
Aventura, FL 33180-1226
Phone
(305) 466-9988
Fax
(305) 466-9989
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Steven Magilen, M.D.
Title
Ceo/Cmo
Phone
(305) 466-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X ME20802 FL Primary

Addresses

Primary practice location

21150 Biscayne Blvd
Suite 400
Aventura, FL 33180-1226

Mailing address

21150 Biscayne Blvd
Suite 400
Aventura, FL 33180-1226
Phone (305) 466-9988

Other identifiers 1

IdentifierTypeStateIssuer
1568428266OtherFLNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1154587202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "SUITE 400",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "SUITE 400",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORECTAL SURGERY & AESTHETICS INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "MAGILEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "305-466-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME20802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568428266",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.