NPIMap

Organization Active NPI

Fort Lauderdale Surgical Specialists P a

  • Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1679665129
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME42654 Issued in FL
Legal business name
FORT LAUDERDALE SURGICAL SPECIALISTS P A
Practice address
4801 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-4618
Phone
(954) 202-0242
Fax
(954) 202-0243
NPI assigned
Sep 29, 2006
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Jonathan Scott Levine, MDNPI 1548283393
Title
Owner/ President
Phone
(954) 202-0242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME42654 FL Primary

Addresses

Primary practice location

4801 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-4618

Mailing address

4801 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-4618
Phone (954) 202-0242

National Provider Directory

National Provider Directory

Locations

4801 N Federal Hwy
Ste 1
Fort Lauderdale, FL 33308

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1679665129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-202-0242",
            "fax_number": "954-202-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-202-0242",
            "fax_number": "954-202-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE SURGICAL SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "954-202-0242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME42654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.