Organization Active NPI

Gastroenterology Institute of Fort Lauderdale

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1750559225
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GASTROENTEROLOGY INSTITUTE OF FORT LAUDERDALE
Practice address
2021 E Commercial Blvd
Suite 202
Fort Lauderdale, FL 33308-3763
Phone
(954) 491-8788
Fax
(954) 202-7781
NPI assigned
Feb 18, 2008
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Mrs. Isabel Cusano
Title
Administrator
Phone
(954) 491-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL Primary

Addresses

Primary practice location

2021 E Commercial Blvd
Suite 202
Fort Lauderdale, FL 33308-3763

Mailing address

2021 E Commercial Blvd
Suite 202
Fort Lauderdale, FL 33308-3763
Phone (954) 491-8788

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
10D1012569Gastroenterology Institute of2021 E Commercial Blvd 202, Fort Lauderdale, FL 33308Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

2021 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (305) 763-9951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1750559225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083763",
            "telephone_number": "954-491-8788",
            "fax_number": "954-202-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083763",
            "telephone_number": "954-491-8788",
            "fax_number": "954-202-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY INSTITUTE OF FORT LAUDERDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "CUSANO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-491-8788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.