New Smyrna Beach Ambulatory Care Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1017 Issued in FL

Legal business name

NEW SMYRNA BEACH AMBULATORY CARE CENTER

Practice address

612 Palmetto St
New Smyrna Beach, FL 32168-7327

Phone

(383) 423-5500

Fax

(386) 409-9762

NPI assigned

Jan 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Nagrani, M.D.NPI 1699717611

Title

Medical Director

Phone

(386) 423-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

New Smyrna Beach Ambulatory Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Smyrna Beach Ambulatory Care Center Inc

  • Ambulatory Surgical Clinic/Center
  • New Smyrna Beach, FL
  • NPI 1902853195
  NPD tax ID

Practitioners 1

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.

• Mark Nagrani, M.D.

  • Specialist
  • New Smyrna Beach, FL
  • NPI 1699717611
  NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497891501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327",
            "telephone_number": "383-423-5500",
            "fax_number": "386-409-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687327",
            "telephone_number": "383-423-5500",
            "fax_number": "386-409-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMYRNA BEACH AMBULATORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGRANI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "386-423-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "63D",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NCCC of Volusia LLC
• NDC of Volusia LLC
• Tanuja Nimish Nemani, M.D.,M.P.H
• Netto Counseling Services, LLC
• David Netto, MS
• New Smyrna Beach Ambulatory Care Center Inc
• New Smyrna Beach Artificial Kidney, LC (U.S. Renal Care New Smyrna Beach Dialysis)
• New Smyrna Beach Assisted Living Facility, Inc.
• New Smyrna Beach Chiropractic Clinic PLC (Dougherty Chiropractic Clinic)
• New Smyrna Beach Dialysis LLC

• Ambulatory Surgical Clinic/Center in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Ambulatory Surgical Clinic/Center 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.