Organization Active NPI

Peter M Scerbo, DMD, Pa2

  • Dentist
  • Lighthouse Point, FL
National Provider Identifier
1699149799
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PETER M SCERBO, DMD, PA2
Practice address
2211 NE 36TH St Ste 201
Lighthouse Point, FL 33064-7500
Phone
(954) 943-2466
Fax
(954) 941-0551
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Dr. Peter M Scerbo, DMD
Title
President
Phone
(973) 886-4614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2211 NE 36TH St Ste 201
Lighthouse Point, FL 33064-7500

Mailing address

19390 Collins Ave Apt 201a
Sunny Isles Beach, FL 33160-2229
Phone (954) 943-2466

National Provider Directory

National Provider Directory

Locations

2211 NE 36th St
Ste 201
Lighthouse Point, FL 33064
Phone (954) 943-2466

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": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1699149799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19390 COLLINS AVE APT 201A",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602229",
            "telephone_number": "954-943-2466",
            "fax_number": "954-941-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NE 36TH ST STE 201",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647500",
            "telephone_number": "954-943-2466",
            "fax_number": "954-941-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M SCERBO, DMD, PA2",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "SCERBO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-886-4614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.