Individual provider Active NPI

Alexander G Justicz, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1265497473
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME106017 Issued in FL
Practice address
1625 SE 3Rd Ave Ste 300
Fort Lauderdale, FL 33316-2521
Phone
(954) 355-4665
Fax
(954) 355-4881
NPI assigned
Apr 19, 2006
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 031040 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME106017 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 300
Fort Lauderdale, FL 33316-2521

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 355-4665

Other practice location 1

1625 SE 3rd Ave Ste 355
Fort Lauderdale, FL 33316-2521
Phone (954) 355-5001

Other identifiers 5

IdentifierTypeStateIssuer
00661548AMedicaidGA
Q00677830OtherFLMEDICARE RR
003190000MedicaidFL
330003473OtherGARR MEDICARE
572542OtherGABCBS EDI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100615000084 FL Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 3971496696 Reassigns benefits to 3 organizations
I20120124000428 GA Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3971496696

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Emory University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Mental Solutions IncGroup PAC ID 3577958438, 12 clinicians
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

11780 SW 89TH St
Miami, FL 33186-2181

1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521
Phone (954) 355-4665

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)26
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031040GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Mar 1, 2014 Accepting new patients
Holy Cross Hospital Inc CurrentSince Mar 1, 2014 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 21, 2021 Accepting new patients
North Broward Hospital District CurrentSince Apr 1, 2024 Accepting new patients
North Broward Hospital District CurrentSince Apr 1, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 21, 2021 Accepting new patients
North Broward Hospital District Current Accepting new patients
Peachtree Cardiovascular Surgeons at Saint Joseph's LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Peachatree Cardiovascular & Thoracic Surgeons, P.a. PastSince Jul 23, 1992 Accepting new patients
North Broward Hospital District Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1625 SE 3rd Ave
Ste 355
Fort Lauderdale, FL 33316
Phone (954) 355-5001

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316

1625 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 523-7408

1625 SE 3rd Ave
Ste 300
Ft Lauderdale, FL 33316
Phone (954) 355-4665

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

3450 11th Ct
Ste 105
Vero Beach, FL 32960
Phone (772) 563-4580

3450 11th Ct
Ste 206A
Vero Beach, FL 32960

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1265497473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-355-4665",
            "fax_number": "954-355-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 SE 3rd Ave Ste 355",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162521",
            "country_code": "US",
            "telephone_number": "954-355-5001",
            "fax_number": "954-355-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICZ",
        "first_name": "ALEXANDER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "031040",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME106017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00661548A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "Q00677830",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003190000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "330003473",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS EDI",
            "identifier": "572542",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.