Gardens Pediatrics PBG PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0071424 Issued in FL

Legal business name

GARDENS PEDIATRICS PBG PA

Practice address

500 University Blvd Ste 102
Jupiter, FL 33458-2774

Phone

(561) 622-6610

Fax

(561) 622-6091

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nagaraj Gowda, M.D.NPI 1336110402

Title

President

Phone

(561) 622-6610

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Nagaraj Gowda, M.D.

  • Pediatrics Physician
  • Jupiter, FL
  • NPI 1336110402
  NPD (past) Authorized official
• Sarah Cillick

  • Physician Assistant
  • Jupiter, FL
  • NPI 1629817739
  NPD (past)
• Nirali Dhruvang Patel, PA-C

  • Physician Assistant
  • Jupiter, FL
  • NPI 1568997989
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1154655645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD STE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582774",
            "telephone_number": "561-622-6610",
            "fax_number": "561-622-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD STE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582774",
            "telephone_number": "561-622-6610",
            "fax_number": "561-622-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS PEDIATRICS PBG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "NAGARAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-622-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0071424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia I Garcia, MD
• Emilio Garcia, M.D
• Sean Garcia
• Vanessa Garcia
• Gardens Mental Health, LLC
• Gardens Vision Center P.a.
• James Michael Gardner Jr.
• John Gardner, MD
• Madison Gardner, DNP, APRN-CNS
• Ralph Gardner, PTA

• Pediatrics Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.