Active NPI
Oceanside Surgery, LLC
- Surgical Critical Care Physician
- Boynton Beach, FL
National Provider Identifier
1699018200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- ME112973
- Legal business name
- OCEANSIDE SURGERY, LLC
- Practice address
- 2240 W Woolbright Rd
Suite 405
Boynton Beach, FL 33426-6332 - Phone
- (561) 832-9440
- Fax
- (561) 832-9396
- NPI assigned
- Apr 2, 2013
- 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
- John Thomas Malcynski, MD, FACS, FCCP
- Title
- Owner
- Phone
- (561) 832-9440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | ME112973 | FL | Primary |
Addresses
Primary practice location
2240 W Woolbright Rd
Suite 405
Boynton Beach, FL 33426-6332
Mailing address
2240 W Woolbright Rd
Suite 405
Boynton Beach, FL 33426-6332
Phone (561) 832-9440
National Provider Directory
National Provider DirectoryLocations
2240 W Woolbright Rd
Ste 405
Boynton Beach, FL 33426
Phone (561) 364-0945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1699018200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 W WOOLBRIGHT RD",
"address_2": "SUITE 405",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334266332",
"telephone_number": "561-832-9440",
"fax_number": "561-832-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 W WOOLBRIGHT RD",
"address_2": "SUITE 405",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334266332",
"telephone_number": "561-832-9440",
"fax_number": "561-832-9396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEANSIDE SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-02",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "MALCYNSKI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-832-9440",
"authorized_official_credential": "MD, FACS, FCCP"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME112973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.