Organization Active NPI

University Perinatal Associates

  • Maternal & Fetal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1811134273
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME72366 Issued in FL
Legal business name
UNIVERSITY PERINATAL ASSOCIATES
Practice address
11505 Fairchild Gardens Ave
Suite 101
Palm Beach Gardens, FL 33410-2847
Phone
(561) 630-8001
NPI assigned
Jan 7, 2009
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Ruel Tyrone Stoessel, M.D., P.A.NPI 1831299767
Title
Owner
Phone
(561) 630-8001

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
Maternal & Fetal Medicine Physician 207VM0101X ME72366 FL Primary

Addresses

Primary practice location

11505 Fairchild Gardens Ave
Suite 101
Palm Beach Gardens, FL 33410-2847

Mailing address

11505 Fairchild Gardens Ave
Suite 101
Palm Beach Gardens, FL 33410-2847
Phone (561) 630-8001

Other identifiers 1

IdentifierTypeStateIssuer
253207700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Ruel T Stoessel MD PA12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3500 Kyoto Gardens Dr
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 493-8314

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1811134273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 FAIRCHILD GARDENS AVE",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102847",
            "telephone_number": "561-630-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 FAIRCHILD GARDENS AVE",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102847",
            "telephone_number": "561-630-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PERINATAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "STOESSEL",
        "authorized_official_first_name": "RUEL",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-630-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME72366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253207700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.