Organization Active NPI

Gorensek LLC

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1346001807
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
GORENSEK LLC
Practice address
2151 E Commercial Blvd Ste 203
Fort Lauderdale, FL 33308-3807
Phone
(954) 292-2020
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Margaret Gorensek, MDNPI 1053374017
Title
Sole Member
Phone
(954) 292-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

2151 E Commercial Blvd Ste 203
Fort Lauderdale, FL 33308-3807

Mailing address

936 Intracoastal Dr Apt 19Ab
Fort Lauderdale, FL 33304-3640
Phone (954) 292-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429001860 FL Part B Supplier - Clinic/Group Practice 0941640650 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1346001807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 INTRACOASTAL DR APT 19AB",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043640",
            "telephone_number": "954-292-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083807",
            "telephone_number": "954-292-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORENSEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "GORENSEK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "954-292-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "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 Jan 22, 2024; 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.