Surgical Arts of Boca Raton LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

SURGICAL ARTS OF BOCA RATON LLC

Practice address

9980 Central Park Blvd N Ste 113
Boca Raton, FL 33428-1703

Phone

(917) 882-5013

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jason Portnof, MD DMDNPI 1760613426

Title

President

Phone

(561) 717-3660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason E. Portnof, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boca Raton, FL
  • NPI 1760613426
  Medicare reassignment NPD Authorized official
• Michael London, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wellington, FL
  • NPI 1013369438

  Single Specialty

  Medicare reassignment NPD
• Navid Baradarian, DDS

  • Periodontics
  • Delray Beach, FL
  • NPI 1417172610
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1689171332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-717-3660",
            "fax_number": "561-717-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "917-882-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ARTS OF BOCA RATON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "PORTNOF",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-717-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Sunshine, LCSW
• William A Sunshine, M.D.
• Sunstate Physicians LLC
• Agnes Z Supala Berger, MD
• Suramed Health Center, PA
• Surgical Oncology of South Palm Beach PA
• Surgical Skin Specialists of South Florida LLC
• Surgicare of Boca Raton LLC
• Susan Levin, PH.D., P.a.
• Susan Patrick Rodell M D P a

• Oral & Maxillofacial Surgery (D.M.D.) in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.