Active NPI
Premiere Perinatal Associates PA
- Maternal & Fetal Medicine Physician
- Margate, FL
National Provider Identifier
1386643187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- ME43546
- Legal business name
- PREMIERE PERINATAL ASSOCIATES PA
- Practice address
- 2964 N State Road 7 Ste 300
Margate, FL 33063-5715 - Phone
- (954) 468-3080
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Kondas
- Title
- Officer
- Phone
- (877) 328-1119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | ME43546 | FL | Primary |
Addresses
Primary practice location
2964 N State Road 7 Ste 300
Margate, FL 33063-5715
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273189400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
500 SE 17th St
Ste 100
Ft Lauderdale, FL 33316
Phone (954) 462-7558
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Ft Lauderdale, FL
- NPI 1548259278
-
- Maternal & Fetal Medicine Physician
- Pembroke Pines, FL
- NPI 1720438120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1386643187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 CENTERVIEW DR STE 107",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063563",
"fax_number": "919-425-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2964 N STATE ROAD 7 STE 300",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635715",
"telephone_number": "954-468-3080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIERE PERINATAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "877-328-1119"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "FL",
"license": "ME43546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273189400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.