Active NPI
Stephen Z. Gervin, MD, Facs, Neuro Surgery PA
- Specialist
- Pembroke Pines, FL
National Provider Identifier
1265611321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME13977
- Legal business name
- STEPHEN Z. GERVIN, MD, FACS, NEURO SURGERY PA
- Practice address
- 2301 N University Dr
Suite 210
Pembroke Pines, FL 33024-3617 - Phone
- (954) 961-3365
- Fax
- (954) 961-5629
- NPI assigned
- Oct 25, 2007
- 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
- Mrs. Robin Maceiras
- Title
- Admin
- Phone
- (954) 961-3365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME13977 | FL | Primary |
Addresses
Primary practice location
2301 N University Dr
Suite 210
Pembroke Pines, FL 33024-3617
Mailing address
2301 N University Dr
Suite 210
Pembroke Pines, FL 33024-3617
Phone (954) 961-3365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8180 NW 36th St
Ste 303
Doral, FL 33166
Phone (786) 517-6600
2221 N University Dr
Ste C
Pembroke Pines, FL 33024
Phone (904) 961-3365
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Pembroke Pines, FL
- NPI 1114983020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1265611321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 N UNIVERSITY DR",
"address_2": "SUITE 210",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243617",
"telephone_number": "954-961-3365",
"fax_number": "954-961-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N UNIVERSITY DR",
"address_2": "SUITE 210",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243617",
"telephone_number": "954-961-3365",
"fax_number": "954-961-5629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN Z. GERVIN, MD, FACS, NEURO SURGERY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "MACEIRAS",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "954-961-3365",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME13977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.