Active NPI
Serenity Cosmetic Surgery & Rejuvenation
- Plastic Surgery Physician
- Hallandale Beach, FL
National Provider Identifier
1720623283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- SERENITY COSMETIC SURGERY & REJUVENATION
- Practice address
- 815 SE 1St Ave Ste a
Hallandale Beach, FL 33009-7102 - Phone
- (305) 900-3459
- Fax
- (305) 900-5372
- NPI assigned
- Nov 8, 2019
- 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
- Sagi Shaked
- Title
- Owner
- Phone
- (305) 900-3459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
815 SE 1St Ave Ste a
Hallandale Beach, FL 33009-7102
Mailing address
815 SE 1St Ave Ste a
Hallandale Beach, FL 33009-7102
Phone (305) 900-3459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Other | FL | SELF PAY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.officeally.com | Direct |
National Provider Directory
National Provider DirectoryLocations
815 SE 1st Ave
Ste A
Hallandale Beach, FL 33009
Phone (305) 900-3459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573171200000",
"number": "1720623283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 SE 1ST AVE STE A",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330097102",
"telephone_number": "305-900-3459",
"fax_number": "305-900-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 SE 1ST AVE STE A",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330097102",
"telephone_number": "305-900-3459",
"fax_number": "305-900-5372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY COSMETIC SURGERY & REJUVENATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A",
"authorized_official_last_name": "SHAKED",
"authorized_official_first_name": "SAGI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-900-3459"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF PAY",
"identifier": "1",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.officeally.com",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "815 SE 1st Ave Ste A",
"city": "Hallandale Beach",
"state": "FL",
"country_code": "US",
"postal_code": "330097102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.