East Atlantic Specialty Management Group LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST ATLANTIC SPECIALTY MANAGEMENT GROUP LLC

Practice address

4600 Linton Blvd Ste 100
Delray Beach, FL 33445-6600

Phone

(561) 791-1836

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Eugenio Rodriguez, MDNPI 1508921172

Title

Medical Director

Phone

(561) 381-9900

Specialties & licenses 1

Addresses

Other names 1

• Midtown Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Midtown Outpatient Surgery Center LLCCCN 10C0001566

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugenio Rodriguez, M.D.

  • Surgery Physician
  • Delray Beach, FL
  • NPI 1508921172
  NPD (past) Authorized official

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1750685111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LINTON BLVD",
            "address_2": "SUITE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LINTON BLVD STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456600",
            "telephone_number": "561-791-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ATLANTIC SPECIALTY MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-381-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dva Healthcare Renal Care Inc
• Dynamic Chiropractic & Acupuncture LLC
• Dynamic DME, LLC
• Dynamic Medical Rehabilitation Center of Delray Beach
• Early Signs Therapy Center
• East Atlantic Surgical Group, Inc
• East Coast Discseel, LLC
• East Coast Medical Associates, Inc.
• East Coast Midwifery LLC
• East Delray Dental, PLLC

• Ambulatory Surgical Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.