Organization Active NPI

Ralph Guarneri, P.a.

  • Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1215249750
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0060839 Issued in FL
Legal business name
RALPH GUARNERI, P.A.
Practice address
1625 SE 3Rd Ave # 415C
Fort Lauderdale, FL 33316-2521
Phone
(954) 462-8714
Fax
(954) 462-8722
NPI assigned
Jul 13, 2010
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Dr. Ralph Guarneri, M.D.NPI 1699773341
Title
Owner
Phone
(954) 462-8714

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
Surgery Physician 208600000X ME0060839 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave # 415C
Fort Lauderdale, FL 33316-2521

Mailing address

1625 SE 3Rd Ave # 415C
Fort Lauderdale, FL 33316-2521
Phone (954) 462-8714

Other identifiers 1

IdentifierTypeStateIssuer
057543700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110504000069 FL Part B Supplier - Clinic/Group Practice 8628253812 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Lauderdale, FL; Plantation, FL

National Provider Directory

National Provider Directory

Locations

1508 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 462-8714

1625 SE 3rd Ave
#415C
Ft Lauderdale, FL 33316
Phone (954) 462-8714

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": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1215249750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE # 415C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-462-8714",
            "fax_number": "954-462-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE # 415C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-462-8714",
            "fax_number": "954-462-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH GUARNERI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "GUARNERI",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-462-8714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0060839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057543700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.