Boniface U Ndubisi, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

ME65086 Issued in FL

Practice address

2964 N State Road 7
Ste 100
Margate, FL 33063-5755

Phone

(954) 974-5190

Fax

(954) 974-0743

NPI assigned

Jul 21, 2005

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

Other identifiers 2

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

Specialty

Gynecological Oncology

Education

Texas Tech University Health Science Center School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
• Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Southeast Gynecological Specialty PA

  • Gynecologic Oncology Physician
  • Margate, FL
  • NPI 1508921818
  Medicare reassignment
• South Florida Womens Cancer Care LLC

  • Gynecologic Oncology Physician
  • Delray Beach, FL
  • NPI 1598075632
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Broward Hospital District

  • General Acute Care Hospital
  • Coral Springs, FL
  • NPI 1174551147
  Care Compare affiliation
• Northwest Medical Center Inc

  • General Acute Care Hospital
  • Margate, FL
  • NPI 1063466563
  Care Compare affiliation

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1730189697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 N STATE ROAD 7",
            "address_2": "STE 100",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635755",
            "telephone_number": "954-974-5190",
            "fax_number": "954-974-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 N STATE ROAD 7",
            "address_2": "STE 100",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635755",
            "telephone_number": "954-974-5190",
            "fax_number": "954-974-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUBISI",
        "first_name": "BONIFACE",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME65086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18916",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262018900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Myslinski
• Kenson Narcisse
• National Hyperbaric Center, LLC
• Clarisa Navarro Molina
• Nazahealing
• Neena Gupta, DO, PA/Dba Sample Medical Center
• Neil Schultz, MD PA
• Antoinette Marie Nelli-Gmur
• Nestor Fernandez, M.D., P.a.
• Neuro Intergration, LLC

• Gynecologic Oncology Physician in Margate, FL
• Providers in Margate, FL by specialty
• Gynecologic Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.