Active NPI
US Medical Care Wellington, LLC
Doing business as Smart for Life
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Royal Palm Beach, FL
National Provider Identifier
1689946824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) Physician
- License
- ME26716
- Legal business name
- US MEDICAL CARE WELLINGTON, LLC
- Doing business as
- Smart for Life
- Practice address
- 11903 Southern Blvd
Suit 108
Royal Palm Beach, FL 33411-7644 - Phone
- (561) 792-2000
- Fax
- (561) 792-2090
- NPI assigned
- Feb 3, 2012
- Last updated
- Feb 3, 2012
- 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
- Dr. Sasson Moulavi, M.D.
- Title
- Medical Director
- Phone
- (561) 445-4489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME83741 | FL | |
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | ME26716 | FL | Primary |
Addresses
Primary practice location
11903 Southern Blvd
Suit 108
Royal Palm Beach, FL 33411-7644
Mailing address
11903 Southern Blvd
Suit 108
Royal Palm Beach, FL 33411-7644
Phone (561) 792-2000
Other names 1
- Smart for Life
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Boca Raton, FL
- NPI 1619248358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1689946824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11903 SOUTHERN BLVD",
"address_2": "SUIT 108",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334117644",
"telephone_number": "561-792-2000",
"fax_number": "561-792-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11903 SOUTHERN BLVD",
"address_2": "SUIT 108",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334117644",
"telephone_number": "561-792-2000",
"fax_number": "561-792-2090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US MEDICAL CARE WELLINGTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "MOULAVI",
"authorized_official_first_name": "SASSON",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "561-445-4489",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME83741",
"primary": false
},
{
"code": "207VB0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obesity Medicine",
"state": "FL",
"license": "ME26716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smart for Life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.