Active NPI
Dr Dan Plastic Surgery
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Fort Lauderdale, FL
National Provider Identifier
1760911796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dan Georgescu, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Plantation, FL
- NPI 1598936924
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.