Genesiscare USA of Florida LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Doing business as

Palm Beach Urology Associates

Practice address

3347 State Road 7
Suite 101
Wellington, FL 33449-8148

Phone

(561) 790-2111

Fax

(561) 296-0436

NPI assigned

Sep 15, 2015

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESISCARE USA INCAs reported in NPPES

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

Authorized official

Name

Shaden Marzouk

Title

President

Phone

(239) 931-7254

Specialties & licenses 1

Addresses

Other names 1

• Palm Beach Urology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• Direct secure messaging: damienportela@palmbeach.medalliesdirect.net
• Direct secure messaging: edwardbecker@palmbeach.medalliesdirect.net
• Direct secure messaging: fredmuhletaler@palmbeach.medalliesdirect.net
• Direct secure messaging: georgispatsias@palmbeach.medalliesdirect.net
• Direct secure messaging: rafaellopez@palmbeach.medalliesdirect.net
• Direct secure messaging: seansawh@palmbeach.medalliesdirect.net

Practitioners 11

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.

• Edward Rene Becker, M.D.

  • Urology Physician
  • Wellington, FL
  • NPI 1194703223
  NPD
• Samuel Cyril Jr., P.A.

  • Physician Assistant
  • Wellington, FL
  • NPI 1104804210
  NPD
• Avril Lexene Dhana, ARNP

  • Family Nurse Practitioner
  • Spring Hill, FL
  • NPI 1720394075
  NPD
• Heather Michelle Hershberger, APRN, FNP-C

  • Family Nurse Practitioner
  • Wellington, FL
  • NPI 1417504564

  Single Specialty

  NPD
• Marina Lebrun

  • Adult Health Nurse Practitioner
  • Hollywood, FL
  • NPI 1851856439
  NPD
• Rafael Roberto Lopez, M.D.

  • Urology Physician
  • Wellington, FL
  • NPI 1124006358
  NPD
• Eric Joseph Mocarski, PA-C

  • Physician Assistant
  • Coral Springs, FL
  • NPI 1346443124
  NPD
• Fred Muhletaler, M.D.

  • Urology Physician
  • Wellington, FL
  • NPI 1588875678
  NPD
• Georgis Patsias, MD

  • Urology Physician
  • Wellington, FL
  • NPI 1942285390
  NPD
• Damian Portela, M.D.

  • Urology Physician
  • Wellington, FL
  • NPI 1194703330
  NPD
• Sean Lall Sawh, MD

  • Urology Physician
  • Wellington, FL
  • NPI 1154593689
  NPD

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1306215868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SE 8TH TER STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903213",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498148",
            "telephone_number": "561-790-2111",
            "fax_number": "561-296-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7254"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Beach Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert M Gaynor, DPM
• Sarah Gaynor
• Germelia Gede
• Katrina Marie Rosiak Gener, DO
• General Surgery of Palm Beach, LLC (Palm Beach Medical Group)
• Genesiscare USA of Florida LLC (Jerry H Singer MD)
• Genesiscare USA of Florida, LLC (Florida Breast Care)
• Geneve Healthcare Corp
• Amanda S Genser, ARNP
• Georgis Patsias MD PA

• Urology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.