Active NPI
Lighthouse Point Ambulatory and Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Lighthouse Point, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vipin Gupta, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 10D2316427 | Lighthouse Point Ambulatory and Surgery Center LLC | Certificate of waiver | Jan 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Lighthouse Point, FL
- NPI 1912091794
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.