Active NPI
John M Sarbak MD PA
- Plastic Surgery Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME72455
- Legal business name
- JOHN M SARBAK MD PA
- Practice address
- 3735 11TH Cir
Suite 203
Vero Beach, FL 32960-4844 - Phone
- (772) 563-0930
- NPI assigned
- Oct 4, 2007
- 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
- John M Sarbak, MD
- Title
- President
- Phone
- (772) 563-0930
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME72455 | FL | Primary |
Addresses
Primary practice location
3735 11TH Cir
Suite 203
Vero Beach, FL 32960-4844
Mailing address
3735 11TH Cir
Suite 203
Vero Beach, FL 32960-4844
Phone (772) 563-0930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2218363 | John M Sarbak MD PA | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
3735 11th Cir
Ste 203
Vero Beach, FL 32960
Phone (772) 563-0930
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Vero Beach, FL
- NPI 1144394701
-
- Family Nurse Practitioner
- Vero Beach, FL
- NPI 1588374425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301443200000",
"number": "1740478684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3735 11TH CIR",
"address_2": "SUITE 203",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604844",
"telephone_number": "772-563-0930",
"fax_number": "772-563-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 11TH CIR",
"address_2": "SUITE 203",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604844",
"telephone_number": "772-563-0930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M SARBAK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2011-03-30",
"status": "A",
"authorized_official_last_name": "SARBAK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-563-0930",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME72455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.