Active NPI
Elite Surgical Specialties, LLC
- Surgery Physician
- Margate, FL
National Provider Identifier
1407569411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ELITE SURGICAL SPECIALTIES, LLC
- Practice address
- 6260 W Atlantic Blvd
Margate, FL 33063-5129 - Phone
- (954) 494-5530
- Fax
- (954) 514-9000
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 24, 2023
- 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
- Dr. Michael Clerveus, MD
- Title
- President
- Phone
- (516) 603-6167
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
6260 W Atlantic Blvd
Margate, FL 33063-5129
Mailing address
4941 W Sample Rd Apt 102
Coconut Creek, FL 33073-3692
Phone (516) 603-6167
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Surgery Physician
- Margate, FL
- NPI 1922460963
-
- Surgery Physician
- Show Low, AZ
- NPI 1245294552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674518400000",
"number": "1407569411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4941 W SAMPLE RD APT 102",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733692",
"telephone_number": "516-603-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6260 W ATLANTIC BLVD",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635129",
"telephone_number": "954-494-5530",
"fax_number": "954-514-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE SURGICAL SPECIALTIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A",
"authorized_official_last_name": "CLERVEUS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-603-6167",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.