Individual provider Active NPI

Albert Iskandar, PA

  • Surgical Physician Assistant
  • Royal Palm Beach, FL
National Provider Identifier
1780608497
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9102554 Issued in FL
Practice address
460 N State Road 7 Ste 303
Royal Palm Beach, FL 33411-3514
Phone
(561) 798-6600
Fax
(561) 753-3328
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X ME0066635 FL
Surgical Physician Assistant 363AS0400X PA9102554 FL Primary

Addresses

Primary practice location

460 N State Road 7 Ste 303
Royal Palm Beach, FL 33411-3514

Mailing address

10131 Forest Hill Blvd. Suite 230
Wellington, FL 33414-6109
Phone (561) 798-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209001254 FL Practitioner - Physician Assistant 3274427547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians

Practice addresses (Care Compare)

10131 Forest Hill Blvd
Wellington, FL 33414-6109
Phone (561) 803-8616

10131 W Forest Hill Blvd
Wellington, FL 33414-6109
Phone (561) 798-6600

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

440 N State Rd
Royal Palm Beach, FL 33411-3504
Phone (561) 798-6600

582 NW University Blvd
Suite 100
Port St Lucie, FL 34986-2264
Phone (561) 798-6600

875 Military TRL
Suite 105
Jupiter, FL 33458-5700
Phone (561) 798-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
ME0066635FLMDPhysician Assistant
PA9102554FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Nov 1, 2008 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Nov 1, 2008 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients

Locations

875 Military Trl
Ste 105
Jupiter, FL 33458
Phone (561) 768-0050

582 NW University Blvd
Ste 100
Port St Lucie, FL 34986
Phone (561) 836-7248

460 N State Road 7
Ste 303
Royal Palm Beach, FL 33411

440 N State Road 7
Ste 103
Royal Palm Beach, FL 33411

440 N State Road 7
Ste A
Royal Palm Beach, FL 33411
Phone (561) 784-7329

440 N State Road 7
Ste 101103
Royal Palm Beach, FL 33411

10111 Forest Hill Blvd
Rm 151
Wellington, FL 33414

10131 Forest Hill Blvd
Ste 230
West Palm Beach, FL 33414

10131 Forest Hill Blvd
Ste 206
West Palm Beach, FL 33414
Phone (561) 803-8616

Interoperability endpoints

  • Direct secure messaging: albert.iskandar.1@22724.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1780608497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD. SUITE 230",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N STATE ROAD 7 STE 303",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113514",
            "telephone_number": "561-798-6600",
            "fax_number": "561-753-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "ALBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "ME0066635",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.