Active NPI
Coral Ridge Gastroenterology Associates LLC
- Gastroenterology Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC
- Practice address
- 2021 E Commercial Blvd
Suite 202
Ft Lauderdale, FL 33308-3763 - Phone
- (954) 202-7850
- Fax
- (954) 202-7781
- NPI assigned
- Sep 21, 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
- V. Alin Botoman, M.D.
- Title
- Facg/Facp
- Phone
- (954) 202-7850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
2021 E Commercial Blvd
Suite 202
Ft Lauderdale, FL 33308-3763
Mailing address
2021 E Commercial Blvd
Suite 202
Ft Lauderdale, FL 33308-3763
Phone (954) 202-7850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4181 NW 1st Ave
Ste 11
Boca Raton, FL 33431
4181 NW 1st Ave
Ste 101
Boca Raton, FL 33431
1325 S Congress Ave
Boynton Beach, FL 33426
Phone (561) 734-4545
4701 N Federal Hwy
Ste 10
Fort Lauderdale, FL 33308
2021 E Commercial Blvd
Ste 202
Ft Lauderdale, FL 33308
Phone (954) 202-7850
4800 NE 20th Ter
Ste 105
Ft Lauderdale, FL 33308
Phone (954) 489-0600
4800 NE 20th Ter
Ft Lauderdale, FL 33308
Phone (954) 351-7770
5301 N Dixie Hwy
Ste 202
Oakland Park, FL 33334
Phone (954) 202-7850
550 SW 3rd St
Ste 206
Pompano Beach, FL 33060
Phone (305) 755-2320
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1649374950
-
- Specialist
- Oakland Park, FL
- NPI 1780656371
-
- Gastroenterology Physician
- Boynton Beach, FL
- NPI 1144255530
-
- Gastroenterology Physician
- Boynton Beach, FL
- NPI 1699700070
-
- Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1063615151
-
- Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1316932296
-
- Gastroenterology Physician
- Ft Lauderdale, FL
- NPI 1437113834
-
- Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1396709267
-
- Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1730291006
-
- Specialist
- Fort Lauderdale, FL
- NPI 1932211224
-
- Gastroenterology Physician
- Ft Lauderdale, FL
- NPI 1003906322
-
- Gastroenterology Physician
- Oakland Park, FL
- NPI 1043309776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1265628424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E COMMERCIAL BLVD",
"address_2": "SUITE 202",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333083763",
"telephone_number": "954-202-7850",
"fax_number": "954-202-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E COMMERCIAL BLVD",
"address_2": "SUITE 202",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333083763",
"telephone_number": "954-202-7850",
"fax_number": "954-202-7781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "BOTOMAN",
"authorized_official_first_name": "V.",
"authorized_official_middle_name": "ALIN",
"authorized_official_title_or_position": "FACG/FACP",
"authorized_official_telephone_number": "954-202-7850",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.