Bassem Eldaif MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BASSEM ELDAIF MD PA

Doing business as

Center for Advanced Urology & Robotics

Practice address

6032 Farcenda PL Ste 102
Melbourne, FL 32940

Phone

(321) 215-4799

Fax

(321) 252-4855

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Bassem Eldaif, MDNPI 1881869089

Title

Owner

Phone

(321) 215-4799

Specialties & licenses 1

Addresses

Other names 1

• Center for Advanced Urology & Robotics Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Bassem M Eldaif, MD

  • Urology Physician
  • Melbourne, FL
  • NPI 1881869089
  Medicare reassignment NPD Authorized official
• Maya Rowe, PA-C

  • Surgical Physician Assistant
  • Cocoa Beach, FL
  • NPI 1003585324
  Medicare reassignment

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532822400000",
    "number": "1750882247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 HIGHWAY A1A APT 3301",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329371804",
            "telephone_number": "954-294-1963",
            "fax_number": "866-682-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 FARCENDA PL STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-215-4799",
            "fax_number": "321-252-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSEM ELDAIF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-07-29",
        "status": "A",
        "authorized_official_last_name": "ELDAIF",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-215-4799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advanced Urology & Robotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylyn Hope Barton
• Natalie Margaret Bartos, RD, LD
• Hazel Fajardo Basa, RN
• Basil C Theodotou MD PA
• Thanesseri Baskaran, MD
• Kimberly Melissa Bates, ARNP
• Nicole M Batiste, MSW
• James W. Battaglini, M.D.
• Stephanie Louise Battaglini, ARNP-C
• Kara L Battle

• Urology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.