Genesiscare USA of Florida LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Doing business as

GD Urology

Practice address

9960 Central Park Blvd N Ste 220
Boca Raton, FL 33428-1760

Phone

(561) 487-5506

Fax

(561) 487-9261

NPI assigned

Sep 16, 2015

Last updated

Nov 3, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESISCARE USA INCAs reported in NPPES

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

Authorized official

Name

Ian Wong

Title

Cfo

Phone

(303) 249-7486

Specialties & licenses 1

Addresses

Other names 1

• GD UROLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• Direct secure messaging: grantdisick@sfmuro.medalliesdirect.net
• Direct secure messaging: nicolefoster@sfmuro.medalliesdirect.net

Practitioners 6

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.

• Grant I Disick, MD

  • Urology Physician
  • Boca Raton, FL
  • NPI 1639236797
  NPD
• Daniel K Hellerstein, MD

  • Urology Physician
  • West Palm Beach, FL
  • NPI 1790817278
  NPD
• Kelly Maria Medina

  • Medical Physician Assistant
  • Aventura, FL
  • NPI 1225738545
  NPD
• Carlos M. Pernas Jr., P.A.

  • Physician Assistant
  • Loxahatchee, FL
  • NPI 1275511388
  NPD
• Nicole Schecter, PA

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1376948190
  NPD
• Kristen Lee Shotwell, APRN

  • Nurse Practitioner
  • Jupiter, FL
  • NPI 1144010927
  NPD

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1831568179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SE 8TH TER STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903213",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281760",
            "telephone_number": "561-487-5506",
            "fax_number": "561-487-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC",
        "enumeration_date": "2015-09-16",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-249-7486"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GD UROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Counseling & Consulting, Inc.
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• Genesis Rehabilitation Services
• Genesiscare USA of Florida LLC (David Schwartzwald, MD: Urology Care Specialists)
• Genesiscare USA of Florida LLC (Florida Precision Oncology)
• Genesiscare USA of Florida LLC (Comprehensive Breast Center)
• Genesiscare USA of Florida LLC (Dudak and Dudak)
• Genogenrx LLC
• Gensiscare USA of Florida LLC (Hematology Oncology Associates of Boca Raton)
• Gentera Med Boca LLC

• Urology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.