Organization Active NPI

South Florida Spinal Neurosurgery Associates, LLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1851979066
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH FLORIDA SPINAL NEUROSURGERY ASSOCIATES, LLC
Practice address
7805 NW Beacon Square Blvd
Boca Raton, FL 33487-1395
Phone
(800) 964-4395
Fax
(561) 325-6072
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Jeffrey Harry Oppenheimer, MDNPI 1124082755
Title
Ceo
Phone
(800) 964-4395

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

7805 NW Beacon Square Blvd
Boca Raton, FL 33487-1395

Mailing address

1770 S Ocean Blvd Apt 201
Pompano Beach, FL 33062-7802
Phone (954) 634-4292

Other names 1

  • Neurosurgery Medical Associates, LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1851979066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 S OCEAN BLVD APT 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627802",
            "telephone_number": "954-634-4292",
            "fax_number": "954-634-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 NW BEACON SQUARE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871395",
            "telephone_number": "800-964-4395",
            "fax_number": "561-325-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SPINAL NEUROSURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-964-4395",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgery Medical Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurosurgery Medical Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.