Active NPI
Genesiscare USA of Florida LLC
Doing business as Broward Urology Center
- Urology Physician
- Fort Lauderdale, FL
National Provider Identifier
1871735480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- GENESISCARE USA OF FLORIDA LLC
- Doing business as
- Broward Urology Center
- Practice address
- 2150 S Andrews Ave Ste 100
Fort Lauderdale, FL 33316-3432 - Phone
- (954) 463-6408
- Fax
- (954) 463-1858
- NPI assigned
- Mar 27, 2009
- Organization subpart
- Yes
- Parent organization
- GENESISCARE USA INC.
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
2150 S Andrews Ave Ste 100
Fort Lauderdale, FL 33316-3432
Mailing address
1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE7138 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Broward Urology Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000663 | FL | Part B Supplier - Clinic/Group Practice | 9830082882 |
Receives reassigned benefits from 314 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0284163 | Genesiscare USA of Florida LLC | Provider-performed microscopy | Jan 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1200 E Broward Blvd
Ft Lauderdale, FL 33301
Phone (954) 463-6408
6101 Pine Ridge Rd
#3
Naples, FL 34119
Interoperability endpoints
- arelysdelpino@fyc.medalliesdirect.net
- khrystynasplavnyk@fyc.medalliesdirect.net
- keyapandya@fyc.medalliesdirect.net
- louisyogel@fyc.medalliesdirect.net
- vladislavgorbatiy@fyc.medalliesdirect.net
- ericchenven@fyc.medalliesdirect.net
- maximebenlulu@fyc.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Fort Lauderdale, FL
- NPI 1962493619
-
- Physician Assistant
- Fort Lauderdale, FL
- NPI 1912778440
-
- Urology Physician
- Boca Raton, FL
- NPI 1831139351
-
- Urology Physician
- Fort Lauderdale, FL
- NPI 1831414143
-
- Urology Physician
- Fort Myers, FL
- NPI 1922068436
-
- Medical Physician Assistant
- Fort Lauderdale, FL
- NPI 1730598525
-
- Urology Physician
- Fort Lauderdale, FL
- NPI 1972594612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1871735480",
"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": "2150 S ANDREWS AVE STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333163432",
"telephone_number": "954-463-6408",
"fax_number": "954-463-1858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESISCARE USA OF FLORIDA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESISCARE USA INC.",
"enumeration_date": "2009-03-27",
"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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE7138",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Broward Urology Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Broward Urology Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
- Generational Health of Florida
- Generations Women's Care,Inc
- Genesis Pain Management
- Genesis Sciences, Inc.
- Genesiscare USA of Florida LLC (Paul E. Tocci MD)
- Genlab Corporation (E-Lab of Florida)
- Genoa Healthcare LLC
- Genoa Healthcare LLC
- Peter Roger Genovese, M.D.
- Gentle Teeth and Braces of Cooper City PA
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.