Organization Active NPI

Stephen M Swirsky DO PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boca Raton, FL
National Provider Identifier
1194430280
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
STEPHEN M SWIRSKY DO PA
Practice address
6853 SW 18TH St Ste M-111
Boca Raton, FL 33433-7056
Phone
(954) 933-5495
Fax
(954) 947-3535
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Dr. Stephen Swirsky, DONPI 1003864638
Title
President
Phone
(305) 975-4117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

6853 SW 18TH St Ste M-111
Boca Raton, FL 33433-7056

Mailing address

9835 Lake Worth Rd Ste 16-381
Lake Worth, FL 33467-2300
Phone (954) 933-5495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230627000433 FL Part B Supplier - Clinic/Group Practice 3375901135 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL
O20240809001584 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3375901135 Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

6853 SW 18th St
Ste 111
Boca Raton, FL 33433
Phone (954) 933-5495

9835 Lake Worth Rd
Ste 16381
Lake Worth, FL 33467

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1194430280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 LAKE WORTH RD STE 16-381",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672300",
            "telephone_number": "954-933-5495",
            "fax_number": "954-947-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 SW 18TH ST STE M-111",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337056",
            "telephone_number": "954-933-5495",
            "fax_number": "954-947-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M SWIRSKY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "SWIRSKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-975-4117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.