Active NPI
Southeast Perinatal Associates, Inc.
- Maternal & Fetal Medicine Physician
- Pembroke Pines, FL
National Provider Identifier
1285001156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- Legal business name
- SOUTHEAST PERINATAL ASSOCIATES, INC.
- Practice address
- 601 N Flamingo Rd
Suite 211
Pembroke Pines, FL 33028-1015 - Phone
- (954) 838-2006
- NPI assigned
- Aug 27, 2015
- Last updated
- Jul 13, 2021
- 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
- Kathleen Kondas
- Title
- Officer
- Phone
- (773) 281-1198
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Suite 211
Pembroke Pines, FL 33028-1015
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2014323 | Southeast Perinatal Associates | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
1150 N 35th Ave
Ste 550A
Hollywood, FL 33021
Phone (954) 447-2704
220 SW 84th Ave
Ste 104
Plantation, FL 33324
Phone (954) 382-9000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626134400000",
"number": "1285001156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 CENTERVIEW DR STE 107",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 211",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-838-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST PERINATAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "773-281-1198"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- South Florida Urology Center Inc
- South Florida Vision Services, Inc.
- South Florida Vision Services, Inc.
- South Miami Hospital, Inc (Baptist Medical Plaza at Pembroke Pines)
- Southeast Florida Urology LLC
- Southern Care Solutions Inc.
- Southgate Administrative Services LLC (Doctors Express)
- Southwell Healthcare Inc (Saona Medical Center)
- Jennifer Southwell, OTR/L
- Southwest Broward
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.