Organization Active NPI

Lighthouse Point Surgery Center LLC

  • Interventional Pain Medicine Physician
  • Lighthouse Point, FL
National Provider Identifier
1174025001
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
LIGHTHOUSE POINT SURGERY CENTER LLC
Practice address
1821 NE 25TH St Ste 100
Lighthouse Point, FL 33064-7744
Phone
(954) 941-0484
Fax
(954) 941-0485
NPI assigned
Mar 7, 2018
Last updated
Mar 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Cheryl Pramdip
Title
Practice Manager
Phone
(561) 685-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

1821 NE 25TH St Ste 100
Lighthouse Point, FL 33064-7744

Mailing address

1821 NE 25TH St Ste 100
Lighthouse Point, FL 33064-7744
Phone (954) 941-0484

National Provider Directory

National Provider Directory

Locations

1821 NE 25th St
#100
Lighthouse Point, FL 33064
Phone (954) 941-0484

Practitioners & affiliated clinicians

Practitioners 2

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": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1174025001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 NE 25TH ST STE 100",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647744",
            "telephone_number": "954-941-0484",
            "fax_number": "954-941-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 NE 25TH ST STE 100",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647744",
            "telephone_number": "954-941-0484",
            "fax_number": "954-941-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE POINT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "PRAMDIP",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-685-5955"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.