Active NPI
Stephanie Scurci
- Plastic and Reconstructive Surgery Physician
- Fort Lauderdale, FL
National Provider Identifier
1285052175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME140929
- Practice address
- 717 SE 2ND St Ste 100
Fort Lauderdale, FL 33301-3639 - Phone
- (954) 707-5158
- NPI assigned
- Mar 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME140929 | FL | Primary |
Addresses
Primary practice location
717 SE 2ND St Ste 100
Fort Lauderdale, FL 33301-3639
Mailing address
717 SE 2ND St Ste 100
Fort Lauderdale, FL 33301-3639
Phone (954) 707-5158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170915000294 | FL | Order and Referring Only - General Surgery | 0143594028 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140929 | FL | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1285052175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 SE 2ND ST STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333013639",
"telephone_number": "954-707-5158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 SE 2ND ST STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333013639",
"telephone_number": "954-707-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCURCI",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME140929",
"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 Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.