Organization 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
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X
License
ME26716 Issued in FL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Sasson Moulavi, M.D.NPI 1619248358
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)CodeLicenseStatePrimary
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 Doing business as

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, 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": "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.

Verify at the official NPI Registry.