Active NPI
Aventura Medical Tower Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Aventura, FL
National Provider Identifier
1669106118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2288006 | Aventura Medical Tower Surgery Center LLC | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryMember 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
- Aventura Hospital & Medical Center
- Aventura Institute for Cardiovascular Wellness PA
- Aventura Institute for Womens
- Aventura Irresistible Smiles PA
- Aventura Medical Associates MD PA
- Aventura Neurology Consultants
- Aventura Neurosurgery LLC
- Aventura Neurosurgery LLC
- Aventura OB-GYN Specialists, P.a.
- Aventura Orthopaedics and Sports Medicine, P.a.
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.