Organization Active NPI

Gousse Urology, LLC

  • Urology Physician
  • Miramar, FL
National Provider Identifier
1912450289
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GOUSSE UROLOGY, LLC
Practice address
1951 SW 172ND Ave
Suite 305
Miramar, FL 33029-5593
Phone
(954) 362-2720
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Dr. Angelo Gousse, M.D.NPI 1821028259
Title
MGRM
Phone
(954) 362-2720

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2088F0040X

Addresses

Primary practice location

1951 SW 172ND Ave
Suite 305
Miramar, FL 33029-5593

Mailing address

1951 SW 172ND Ave
Suite 305
Miramar, FL 33029-5593

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170103001644 FL Part B Supplier - Clinic/Group Practice 7810278983 Receives reassigned benefits from 5 practitioners
Practice locations: Aventura, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

21150 Biscayne Blvd
Ste 304
Miami, FL 33180
Phone (305) 200-1829

21150 Biscayne Blvd
Ste 305
Miami, FL 33180

321 15th St
Ste 100
West Palm Beach, FL 33401
Phone (561) 461-8001

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

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": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1912450289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "SUITE 305",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "SUITE 305",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-362-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUSSE UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "GOUSSE",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "954-362-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.