Organization Active NPI

Dr Dan Plastic Surgery

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1760911796
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
DR DAN PLASTIC SURGERY
Practice address
2122 NW 62ND St Ste 229
Fort Lauderdale, FL 33309-1858
Phone
(954) 991-8200
NPI assigned
Jun 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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

Authorized official

Name
Dr. Dan Georgescu, MDNPI 1598936924
Title
Medical Director
Phone
(954) 681-3401

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
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

2122 NW 62ND St Ste 229
Fort Lauderdale, FL 33309-1858

Mailing address

PO Box 4651
Fort Lauderdale, FL 33338-4651
Phone (954) 991-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190807003144 FL Part B Supplier - Clinic/Group Practice 8224365606 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL; Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2122 NW 62nd St
Ste 229
Fort Lauderdale, FL 33309
Phone (954) 991-8200

Practitioners & affiliated clinicians

Practitioners 1

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": "1496534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1760911796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4651",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333384651",
            "telephone_number": "954-991-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 NW 62ND ST STE 229",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091858",
            "telephone_number": "954-991-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAN PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-04",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "GEORGESCU",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-681-3401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "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 Jul 24, 2021; 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.