Organization Active NPI

John M Sarbak MD PA

  • Plastic Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1740478684
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME72455 Issued in FL
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

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
John M Sarbak, MDNPI 1144394701
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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20040420001424 FL Part B Supplier - Clinic/Group Practice 0143216853 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2218363John M Sarbak MD PA3735 11TH Circle Suite 203, Vero Beach, FL 32960Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.