Organization Active NPI

Edgar Abovich, MD PA

  • Cardiovascular Disease Physician
  • Jupiter, FL
National Provider Identifier
1790076560
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EDGAR ABOVICH, MD PA
Practice address
4425 Military TRL
Suite 102
Jupiter, FL 33458-4819
Phone
(561) 624-3303
Fax
(561) 625-0588
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Mrs. Laura Abovich
Title
Office Manager
Phone
(561) 624-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4425 Military TRL
Suite 102
Jupiter, FL 33458-4819

Mailing address

4425 Military TRL
Suite 102
Jupiter, FL 33458-4819
Phone (561) 624-3303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000767 FL Part B Supplier - Clinic/Group Practice 5294911889 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL; Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1790076560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MILITARY TRL",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584819",
            "telephone_number": "561-624-3303",
            "fax_number": "561-625-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 MILITARY TRL",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584819",
            "telephone_number": "561-624-3303",
            "fax_number": "561-625-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR ABOVICH, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "ABOVICH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-624-3303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.