Uro-Medix, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME48050 Issued in FL

Legal business name

URO-MEDIX, INC

Practice address

2500 E Hallandale Beach Blvd
PH 2
Hallandale Beach, FL 33009-4834

Phone

(954) 456-6500

Fax

(954) 456-6503

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack A. Pines, MDNPI 1285699447

Title

President

Phone

(954) 456-6500

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• Direct secure messaging: jackpines@jackpines.medalliesdirect.net

Practitioners 2

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

• Jack A Pines, MD

  • Urology Physician
  • Hallandale Beach, FL
  • NPI 1285699447

  Urology

  NPD Authorized official
• Richard B Antosek, D.O.

  • Urology Physician
  • Sunrise, FL
  • NPI 1912993536

  Urology

  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376667428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "PH 2",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-456-6500",
            "fax_number": "954-456-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "PH 2",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-456-6500",
            "fax_number": "954-456-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URO-MEDIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINES",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-456-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME48050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ultramedscan Center LLC
• Mathew P Umman
• Universal Medical and Wellness Center LLC
• Univida Hallandale Medical Center LLC
• Urgent Care Online Inc
• USA Vascular Centers of Miami PLLC
• USA Vascular Surgery Associates PLLC
• USA Vein Clinics of Miami, LLC
• Uslar Medical FL PA
• Liubou Uslar, M.D.

• All providers in Hallandale Beach, FL
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.