Genesis Medical Center Coral Springs, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME66835 Issued in FL

Legal business name

GENESIS MEDICAL CENTER CORAL SPRINGS, INC.

Practice address

3000 N University Dr
Coral Springs, FL 33065-5055

Phone

(954) 753-0300

Fax

(954) 345-9340

NPI assigned

Mar 20, 2009

Last updated

Jul 13, 2009By 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. Ajaib S. Mann, M.D.NPI 1033171277

Title

President

Phone

(954) 753-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Ajaib S Mann Sr., M.D.

  • Internal Medicine Physician
  • Plantation, FL
  • NPI 1033171277
  Medicare reassignment Care Compare group NPD Authorized official
• Sherbaz Mann, MD

  • Hospitalist Physician
  • Miami, FL
  • NPI 1164046496
  Medicare reassignment Care Compare group NPD
• Mukesh Wadhwa, ARNP

  • Family Nurse Practitioner
  • Coral Springs, FL
  • NPI 1306843982
  Medicare reassignment NPD
• Neil Katz, M.D.

  • Family Medicine Physician
  • Coral Springs, FL
  • NPI 1164424826
  NPD (past)
• Lydia Valladares Wallace, D.O.

  • Family Medicine Physician
  • Inverness, FL
  • NPI 1215139381
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1942441936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655055",
            "telephone_number": "954-753-0300",
            "fax_number": "954-345-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655055",
            "telephone_number": "954-753-0300",
            "fax_number": "954-345-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL CENTER CORAL SPRINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "AJAIB",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-753-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME66835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Geiger, DMD
• Steven David Gelbard, M.D.
• Mark Andrew Gendal, O.D.
• Generations Therapy, Inc.
• Generations Therapy, Inc.
• Genesiscare USA of Florida LLC (Springs Urology)
• Genesiscare USA of Florida LLC (Lief Urology)
• Genesiscare USA of Florida LLC (Sachedina Urology)
• Genesiscare USA of Florida LLC (South Florida Regional Breast Care)
• Gentle Teeth of Coralsprings and Parkland

• Internal Medicine Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.

Verify at the official NPI Registry.