Palm Beach Regional Opco LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PALM BEACH REGIONAL OPCO LLC

Doing business as

Palm Beach Gardens Regional Surgery Center

Practice address

11030 Rca Center Dr Ste 3001
Palm Beach Gardens, FL 33410-4276

Phone

(212) 220-9222

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Feliks Kogan

Title

Managing Partner

Phone

(917) 288-4414

Specialties & licenses 1

Addresses

Other names 1

• Palm Beach Gardens Regional Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Palm Beach Gardens Regional Surgery CenterCCN 10C0001679

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1245988955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARK AVE STE 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221106",
            "telephone_number": "212-220-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR STE 3001",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "212-220-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH REGIONAL OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "FELIKS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "917-288-4414"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Gardens Regional Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Beach Orthopaedic Institute, PA
• Palm Beach Osteopathic Care, Inc.
• Palm Beach Pain LLC
• Palm Beach Pathology, PA (Palm Beach Gardens Pathology Assocciates)
• Palm Beach Psychiatry, PLLC
• Palm Beach Spine Specialists
• Palm Beach Surgical Suites LLC
• Palm Beach Trauma Associates
• Palm Beach Vascular Institute LLC
• Tobia A Palma, M.D.

• Ambulatory Surgical Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.