Organization Active NPI

Aventura Medical Tower Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Aventura, FL
National Provider Identifier
1669106118
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AVENTURA MEDICAL TOWER SURGERY CENTER LLC
Practice address
2801 NE 213TH St
Aventura, FL 33180-1263
Phone
(205) 641-3423
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Jessica Teske
Title
Licensure Enrollment Manager
Phone
(205) 641-3423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2801 NE 213TH St
Aventura, FL 33180-1263

Mailing address

2801 NE 213TH St
Aventura, FL 33180-1263
Phone (205) 641-3423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231109001425 FL Part B Supplier - Ambulatory Surgical Center 2062869258 Practice locations: Aventura, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Aventura Medical Tower Surgery Center LLCCCN 10C0001743
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2288006Aventura Medical Tower Surgery Center LLC2801 NE 213TH Street, Suites 901-905, Aventura, FL 33180Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2801 NE 213th St
Ste 901905
Aventura, FL 33180
Phone (833) 880-5800

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1669106118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801263",
            "telephone_number": "205-641-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801263",
            "telephone_number": "205-641-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA MEDICAL TOWER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "TESKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LICENSURE ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "205-641-3423"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.