Organization Active NPI

Palm Beach Spine Specialists

  • Orthopaedic Surgery of the Spine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1841504719
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME85035 Issued in FL
Legal business name
PALM BEACH SPINE SPECIALISTS
Practice address
11000 Prosperity Farms Rd
Suite 102
Palm Beach Gardens, FL 33410-3462
Phone
(561) 833-4869
Fax
(561) 833-4872
NPI assigned
Aug 3, 2010
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Mr. Pasquale X. Montesano, M.D.NPI 1992814743
Title
Owner
Phone
(561) 833-4869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME85035 FL Primary

Addresses

Primary practice location

11000 Prosperity Farms Rd
Suite 102
Palm Beach Gardens, FL 33410-3462

Mailing address

11000 Prosperity Farms Rd
Suite 102
Palm Beach Gardens, FL 33410-3462
Phone (561) 833-4869

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, 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": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1841504719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103462",
            "telephone_number": "561-833-4869",
            "fax_number": "561-833-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 PROSPERITY FARMS RD",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103462",
            "telephone_number": "561-833-4869",
            "fax_number": "561-833-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH SPINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "MONTESANO",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_middle_name": "X.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-833-4869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME85035",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 2014; 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.