Organization Active NPI

Surfside Pain Control Center

  • Adult Medicine Physician
  • Surfside, FL
National Provider Identifier
1972509644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME81951 Issued in FL
Legal business name
SURFSIDE PAIN CONTROL CENTER
Practice address
260 95TH St
Ste 206
Surfside, FL 33154-2807
Phone
(305) 861-0078
Fax
(305) 993-3828
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Vera Vasershteyn, A.P
Title
President
Phone
(305) 861-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X ME81951 FL Primary

Addresses

Primary practice location

260 95TH St
Ste 206
Surfside, FL 33154-2807

Mailing address

260 95TH St
Ste 206
Surfside, FL 33154-2807
Phone (305) 861-0078

National Provider Directory

National Provider Directory

Locations

260 95th St
Ste 206
Surfside, FL 33154
Phone (305) 861-0078

Practitioners & affiliated clinicians

Practitioners 2

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": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972509644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 95TH ST",
            "address_2": "STE 206",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542807",
            "telephone_number": "305-861-0078",
            "fax_number": "305-993-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 95TH ST",
            "address_2": "STE 206",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542807",
            "telephone_number": "305-861-0078",
            "fax_number": "305-993-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE PAIN CONTROL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASERSHTEYN",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-861-0078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.P"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME81951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.