Organization Active NPI

Palm Beach Institute of Plastic and Reconstructive Surgery

  • Plastic Surgery Physician
  • Jupiter, FL
National Provider Identifier
1821237322
Registry record updated Feb 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME102255 Issued in FL
Legal business name
PALM BEACH INSTITUTE OF PLASTIC AND RECONSTRUCTIVE SURGERY
Practice address
600 Heritage Dr
Ste 220
Jupiter, FL 33458-3000
Phone
(561) 624-0090
Fax
(561) 627-3006
NPI assigned
Feb 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2009

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

Authorized official

Name
Jeffrey R Lagrasso, MD
Title
Owner
Phone
(561) 624-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME102255 FL Primary

Addresses

Primary practice location

600 Heritage Dr
Ste 220
Jupiter, FL 33458-3000

Mailing address

600 Heritage Dr
Ste 220
Jupiter, FL 33458-3000
Phone (561) 624-0090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233964800000",
    "number": "1821237322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR",
            "address_2": "STE 220",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-624-0090",
            "fax_number": "561-627-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR",
            "address_2": "STE 220",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583000",
            "telephone_number": "561-624-0090",
            "fax_number": "561-627-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH INSTITUTE OF PLASTIC AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2009-02-07",
        "status": "A",
        "authorized_official_last_name": "LAGRASSO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-624-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME102255",
            "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 Feb 7, 2009; 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.