Eugene N. Costantini, M.D.,P.a.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME57582 Issued in FL

Legal business name

EUGENE N. COSTANTINI, M.D.,P.A.

Practice address

1777 S Andrews Ave
Suite 301
Ft Lauderdale, FL 33316-2517

Phone

(954) 462-4413

Fax

(954) 462-5413

NPI assigned

Mar 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eugene Norman Costantini, M.D.NPI 1134128481

Title

Owner

Phone

(954) 462-4413

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene Norman Costantini, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ft Lauderdale, FL
  • NPI 1134128481
  Medicare reassignment NPD Authorized official
• Matthew M Kenick, PAC

  • Physician Assistant
  • Fort Lauderdale, FL
  • NPI 1922051614
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1295033041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE",
            "address_2": "SUITE 301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-462-4413",
            "fax_number": "954-462-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE",
            "address_2": "SUITE 301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-462-4413",
            "fax_number": "954-462-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE N. COSTANTINI, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "COSTANTINI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-462-4413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME57582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063842100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahara Ethridge
• Charmaine Gail Etienne
• Jihane Etienne
• Phylecia Aneita Etienne
• Leslie Ettlinger, PT
• Bridget Eugenides, LMT
• Amanda Renee Eukovich, DO
• Mondy Eustache
• Phillip S Evalen
• Josef Rapanan Evalle, PHARM.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.

Verify at the official NPI Registry.