South Florida Urology Center Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME84787 Issued in FL

Legal business name

SOUTH FLORIDA UROLOGY CENTER INC

Practice address

601 N Flamingo Rd Ste 308
Pembroke Pines, FL 33028-1010

Phone

(954) 392-7770

Fax

(954) 392-7577

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Maury A Jayson, MDNPI 1225149891

Title

Owner

Phone

(954) 392-7770

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc11021_southfloridaurologycenter

Practitioners 2

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

• Maury A Jayson, MD

  • Urology Physician
  • Pembroke Pines, FL
  • NPI 1225149891
  Medicare reassignment NPD Authorized official
• Carlos David Bedetti, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Aventura, FL
  • NPI 1659324135
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1588775068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 308",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281010",
            "telephone_number": "954-392-7770",
            "fax_number": "954-392-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 308",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281010",
            "telephone_number": "954-392-7770",
            "fax_number": "954-392-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA UROLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "JAYSON",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-392-7770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME84787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269261900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "82012",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "1001006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED PROVIDER NUMBER",
            "identifier": "292536",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "4637949",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP PROVIDER NUMBER",
            "identifier": "47364",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Urgent Care Centers, Inc
• South Florida Urgent Care Centers, LLC
• South Florida Vision Services, Inc.
• South Florida Vision Services, Inc.
• South Miami Hospital, Inc (Baptist Medical Plaza at Pembroke Pines)
• Southeast Florida Urology LLC
• Southeast Perinatal Associates, Inc.

• Urology Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.