Organization Active NPI

Aventura Neurosurgery LLC

  • Neurological Surgery Physician
  • Aventura, FL
National Provider Identifier
1689621070
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
AVENTURA NEUROSURGERY LLC
Practice address
20295 NE 29TH PL
Suite 300
Aventura, FL 33180-4109
Phone
(786) 428-1059
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Gary Duncan
Title
VP
Phone
(954) 767-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

20295 NE 29TH PL
Suite 300
Aventura, FL 33180-4109

Mailing address

20295 NE 29TH PL
Suite 300
Aventura, FL 33180-4109
Phone (786) 428-1059

Other identifiers 1

IdentifierTypeStateIssuer
3775800OtherFLAETNA US HEALTHCARE OF FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1689621070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20295 NE 29TH PL",
            "address_2": "SUITE 300",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804109",
            "telephone_number": "786-428-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20295 NE 29TH PL",
            "address_2": "SUITE 300",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804109",
            "telephone_number": "786-428-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTURA NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-767-5716"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE OF FL",
            "identifier": "3775800",
            "state": "FL"
        }
    ],
    "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 Aug 17, 2018; 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.