Individual provider Active NPI

Lee A Gibstein, M.D., P.A.

  • Specialist
  • Bay Harbor Islands, FL
National Provider Identifier
1851489066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0072180 Issued in FL
Practice address
1111 Kane Concourse
Suite 311
Bay Harbor Islands, FL 33154-2029
Phone
(305) 865-2802
Fax
(305) 865-9257
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0072180 FL Primary

Addresses

Primary practice location

1111 Kane Concourse
Suite 311
Bay Harbor Islands, FL 33154-2029

Mailing address

1111 Kane Concourse
Suite 311
Bay Harbor Islands, FL 33154-2029
Phone (305) 865-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000727 FL Practitioner - Plastic and Reconstructive Surgery 2466414891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Hahneman Medical College of the Pacific, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10075 S Jog Rd
Suite 206
Boynton Beach, FL 33437-3536
Phone (561) 731-4900

1166 Kane Concourse
Suite 300
Bay Harbor Islands, FL 33154-2023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision48
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
ME0072180FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee a Gibstein MD PA CurrentSince Sep 3, 1997 Accepting new patients
Lee a Gibstein MD PA CurrentSince Sep 3, 1997 Accepting new patients

Locations

1111 Kane Concourse
Ste 311
Bay Harbor Islands, FL 33154
Phone (305) 865-2000

1166 Kane Concourse
Ste 300
Bay Harbor Islands, FL 33154
Phone (305) 865-2802

10075 S Jog Rd
Ste 206
Boynton Beach, FL 33437
Phone (561) 731-4900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851489066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 311",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542029",
            "telephone_number": "305-865-2802",
            "fax_number": "305-865-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 311",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542029",
            "telephone_number": "305-865-2802",
            "fax_number": "305-865-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSTEIN",
        "first_name": "LEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0072180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

Verify at the official NPI Registry.