Organization Active NPI

Lighthouse Point Ambulatory and Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lighthouse Point, FL
National Provider Identifier
1891388625
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LIGHTHOUSE POINT AMBULATORY AND SURGERY CENTER LLC
Practice address
5340 N Federal Hwy Ste 100
Lighthouse Point, FL 33064-7058
Phone
(954) 358-4949
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Vipin Gupta, MDNPI 1912091794
Title
Owner
Phone
(954) 358-4949

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5340 N Federal Hwy Ste 100
Lighthouse Point, FL 33064-7058

Mailing address

5340 N Federal Hwy Ste 100
Lighthouse Point, FL 33064-7058
Phone (954) 358-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227002393 FL Part B Supplier - Ambulatory Surgical Center 1254868573 Practice locations: Lighthouse Point, FL

Ambulatory surgical center certification: CCN 10C0001769

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LIGHTHOUSE POINT AMBULATORY AND SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 28, 2025
Last certification
Jul 2, 2025
Ownership / control type
Proprietary
Facility address
5340 N Federal Hwy, Ste 100
Lighthouse Point, FL 33064

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2316427Lighthouse Point Ambulatory and Surgery Center LLC5340 N Federal Hwy, Ste 100, Lighthouse Point, FL 33064Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory

Locations

5340 N Federal Hwy
Ste 100
Lighthouse Point, FL 33064
Phone (954) 245-3900

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": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1891388625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY STE 100",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-358-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY STE 100",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-358-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE POINT AMBULATORY AND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIPIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-358-4949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.