Active NPI
Gardens Plastic Surgery
- Plastic Surgery Physician
- Palm Beach Gardens, FL
National Provider Identifier
1235248162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00368 | Other | FL | BLUECROSS BLUESHIELD |
| 274352300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.