Palm Beach Trauma Associates

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

PALM BEACH TRAUMA ASSOCIATES

Practice address

2560 Rca Blvd Ste 106
Palm Beach Gardens, FL 33410-3336

Phone

(561) 799-9559

Fax

(561) 799-9577

NPI assigned

Feb 6, 2007

Last updated

Dec 29, 2023By 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

Cori Jean Borrego

Title

Office Manager

Phone

(561) 799-9559

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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.

• Faris K Azar, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1215279625
  Medicare reassignment Care Compare group NPD
• Robert Borrego, M.D.

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1821191826
  Medicare reassignment Care Compare group NPD
• Dimiter Hristov, M.D.

  • Surgery Physician
  • Riviera Beach, FL
  • NPI 1659384600
  Medicare reassignment Care Compare group NPD
• Ibrahim Ihsan Jabbour, MD, MPH

  • Trauma Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1174886386
  Medicare reassignment Care Compare group NPD
• Adam Joseph Mann, MD

  • Trauma Surgery Physician
  • Mangonia Park, FL
  • NPI 1225520901
  Medicare reassignment Care Compare group NPD
• Mario Rueda, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1972745438

  Trauma Surgery

  Medicare reassignment Care Compare group NPD
• Matthew Marken Ramseyer, M.D.

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1699067736
  Medicare reassignment NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1659410652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103336",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103336",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH TRAUMA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "CORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-799-9559"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250031100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Pathology, PA (Palm Beach Gardens Pathology Assocciates)
• Palm Beach Psychiatry, PLLC
• Palm Beach Regional Opco LLC (Palm Beach Gardens Regional Surgery Center)
• Palm Beach Spine Specialists
• Palm Beach Surgical Suites LLC
• Palm Beach Vascular Institute LLC
• Tobia A Palma, M.D.
• David R Palo
• Ravi V Pandey, MD
• Desiree Vasquez Panganiban, ARNP

• Trauma Surgery Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Trauma Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.