Organization Active NPI

Seacrest Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1407100480
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SEACREST SURGICAL CENTER LLC
Practice address
2314 S Seacrest Blvd
Suite 201
Boynton Beach, FL 33435-6788
Phone
(561) 735-7766
Fax
(561) 732-2942
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Dr. Kinga Eva Styperek Grohmann, M.D.NPI 1215020839
Title
President-Ceo
Phone
(561) 735-7766

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
Ambulatory Surgical Clinic/Center 261QA1903X FL Primary

Addresses

Primary practice location

2314 S Seacrest Blvd
Suite 201
Boynton Beach, FL 33435-6788

Mailing address

2314 S. Seacrest Blvd.
Suite 201
Boynton Beach, FL 33435
Phone (561) 735-7766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190108003913 FL Part B Supplier - Ambulatory Surgical Center 5698011864 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Seacrest Surgical Center LLCCCN 10C0001666
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2115500Seacrest Surgical Center LLC2314 S Seacrest Blvd Ste 101, Boynton Beach, FL 33435Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

Locations

2314 S Seacrest Blvd
Ste 101
Boynton Beach, FL 33435
Phone (407) 736-3200

Practitioners & affiliated clinicians

Practitioners 2

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1407100480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 S. SEACREST BLVD.",
            "address_2": "SUITE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-735-7766",
            "fax_number": "561-732-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 S SEACREST BLVD",
            "address_2": "SUITE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356788",
            "telephone_number": "561-735-7766",
            "fax_number": "561-732-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACREST SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "STYPEREK GROHMANN",
        "authorized_official_first_name": "KINGA",
        "authorized_official_middle_name": "EVA",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "561-735-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.