Active NPI
Coral Ridge Gastroenterology Associates LLC
- Gastroenterology Physician
- Fort 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
- Last updated
- Jan 9, 2008
- 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 101
Boca Raton, FL 33431
4181 NW 1st Ave
Ste 11
Boca Raton, FL 33431
4701 N Federal Hwy
Ste 10
Fort Lauderdale, FL 33308
2021 E Commercial Blvd
Ste 202
Ft Lauderdale, FL 33308
Phone (954) 202-7850
4701 N Federal Hwy
Ste A10
Ft Lauderdale, FL 33308
Phone (954) 351-1100
4800 NE 20th Ter
Ste 105
Ft Lauderdale, FL 33308
Phone (954) 489-0600
5700 N Federal Hwy
Ste 1
Ft Lauderdale, FL 33308
Phone (954) 491-6400
5301 N Dixie Hwy
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, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Fort Lauderdale, FL
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- Boynton Beach, FL
- NPI 1699700070
-
- Gastroenterology Physician
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- NPI 1063615151
-
- Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1316932296
-
- Gastroenterology Physician
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- NPI 1437113834
-
- Gastroenterology Physician
- Fort Lauderdale, FL
- NPI 1396709267
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- Gastroenterology Physician
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- NPI 1730291006
-
- Specialist
- Fort Lauderdale, FL
- NPI 1932211224
-
- Gastroenterology Physician
- Fort 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 Fort 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.