Comprehensive Gynecologic Oncology PA

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

ME 74132 Issued in FL

Legal business name

COMPREHENSIVE GYNECOLOGIC ONCOLOGY PA

Practice address

21355 E Dixie Hwy
Suite 100
Aventura, FL 33180-1238

Phone

(305) 405-0700

Fax

(305) 405-0701

NPI assigned

Jul 11, 2006

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frank Dominic Cirisano Jr., M.D.

Title

President

Phone

(305) 405-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Comprehensive Gynecologic Oncology PA

  • Gynecologic Oncology Physician
  • Delray Beach, FL
  • NPI 1326178765

  O20041208000323

  Same enrollment

Locations

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.

• Aida J Lopez, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Margate, FL
  • NPI 1497717854
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1861427908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3026",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330083026",
            "telephone_number": "305-405-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21355 E DIXIE HWY",
            "address_2": "SUITE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801238",
            "telephone_number": "305-405-0700",
            "fax_number": "305-405-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE GYNECOLOGIC ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "CIRISANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-405-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME 74132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecologic Oncology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Gynecologic Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.