Organization Active NPI

Gardens Plastic Surgery

  • Plastic Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1235248162
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
GARDENS PLASTIC SURGERY
Practice address
11020 Rca Center Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277
Phone
(561) 881-8800
Fax
(561) 848-5878
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Dr. Mark Alan Pinsky, MD
Title
Partner
Phone
(561) 881-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

11020 Rca Center Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277

Mailing address

11020 Rca Center Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277
Phone (561) 881-8800

Other identifiers 2

IdentifierTypeStateIssuer
00368OtherFLBLUECROSS BLUESHIELD
274352300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1235248162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR",
            "address_2": "SUITE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-881-8800",
            "fax_number": "561-848-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR",
            "address_2": "SUITE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-881-8800",
            "fax_number": "561-848-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "PINSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-881-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "00368",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274352300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.