Organization Active NPI

OBGYN Specialists of the Palm Beaches PA

  • Obstetrics & Gynecology Physician
  • Jupiter, FL
National Provider Identifier
1659456986
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBGYN SPECIALISTS OF THE PALM BEACHES PA
Practice address
345 Jupiter Lakes Blvd
Suite 200
Jupiter, FL 33458-7100
Phone
(561) 741-1957
Fax
(561) 741-1893
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
John A Burigo, MD
Title
President
Phone
(561) 275-7509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

345 Jupiter Lakes Blvd
Suite 200
Jupiter, FL 33458-7100

Mailing address

770 Northpoint Pkwy Ste 102
West Palm Beach, FL 33407-1901
Phone (561) 275-7604

Other identifiers 2

IdentifierTypeStateIssuer
372700908MedicaidFL
CB7595OtherFLRAILROAD MEDICARE

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
10D2304693OBGYN Specialists of the Palm Beaches II LLC345 Jupiter Lakes Blvd Ste 302, Jupiter, FL 33458Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1659456986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NORTHPOINT PKWY STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071901",
            "telephone_number": "561-275-7604",
            "fax_number": "561-802-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 JUPITER LAKES BLVD",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587100",
            "telephone_number": "561-741-1957",
            "fax_number": "561-741-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN SPECIALISTS OF THE PALM BEACHES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "BURIGO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-275-7509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372700908",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB7595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.