Organization Active NPI

Beth Israel Outpatient Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1295968709
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BETH ISRAEL OUTPATIENT SURGICAL CENTER
Practice address
150 SW 12TH Ave
Suite 450
Pompano Beach, FL 33069
Phone
(954) 941-3369
Fax
(954) 941-8470
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mrs. Stacey Castrovina, R.N.
Title
Director of Operations
Phone
(954) 941-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X FL Primary

Addresses

Primary practice location

150 SW 12TH Ave
Suite 450
Pompano Beach, FL 33069

Mailing address

150 SW 12TH Ave
Suite 450
Pompano Beach, FL 33069
Phone (954) 941-3369

Other names 1

  • Broward Outpatient Surgical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1295968709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE 450",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-941-3369",
            "fax_number": "954-941-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE 450",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-941-3369",
            "fax_number": "954-941-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL OUTPATIENT SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "CASTROVINA",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "954-941-3369",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Outpatient Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.