Edward S Kondi, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

80804 Issued in FL

Practice address

105 Vintageisle LN
Palm Beach Gardens, FL 33418-4603

Phone

(561) 775-7616

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston University General Surgical Associates, Inc.

  • Surgery Physician
  • Boston, MA
  • NPI 1104865567
  NPD (past)
• Boston University General Surgical Associates, Inc.-QMC

  • Podiatrist
  • Quincy, MA
  • NPI 1396041356
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699858795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VINTAGEISLE LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184603",
            "telephone_number": "561-775-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINTAGEISLE LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184603",
            "telephone_number": "561-775-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDI",
        "first_name": "EDWARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "80804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Knudson, PHARMD
• Amber Knutson
• Morgan K Koepper, PSYD
• Tania Luiza Koerber, RD, CSP, LD/N
• Nectarios Kokonis, PHARMD
• Kevin Allen Konkle, LMHC
• Mark A Kontos, MD
• Ellen Koo, MD
• Carleen Korkin
• William Kostelnik, PT

• Surgical Oncology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Surgical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.