Organization Active NPI

Oceanside Surgery, LLC

  • Surgical Critical Care Physician
  • Boynton Beach, FL
National Provider Identifier
1699018200
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME112973 Issued in FL
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

Updated by the provider on Apr 2, 2013

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)CodeLicenseStatePrimary
Surgical Critical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.