Organization Active NPI

Perinatal Specialists of the Palm Beaches

  • Maternal & Fetal Medicine Physician
  • Stuart, FL
National Provider Identifier
1972933745
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME64730 Issued in FL
Legal business name
PERINATAL SPECIALISTS OF THE PALM BEACHES
Practice address
1545 SE Palm CT
Stuart, FL 34994-4914
Phone
(772) 288-9929
Fax
(772) 288-9931
NPI assigned
Nov 15, 2013
Organization subpart
Yes
Parent organization
OB/GYN SPECIALISTS OF THE PALM BEACHES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
John Burigo, MD
Title
President
Phone
(561) 275-7604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X ME64730 FL Primary

Addresses

Primary practice location

1545 SE Palm CT
Stuart, FL 34994-4914

Mailing address

2979 Pga Blvd
Suite 200
Palm Beach Gardens, FL 33410-2911
Phone (561) 275-7604

Other identifiers 1

IdentifierTypeStateIssuer
372700916MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Perinatal Specialists of the Palm Beaches3 organizations share this tax ID, including this one
Part of
Perinatal Specialists of the Palm Beaches

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1972933745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 PGA BLVD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102911",
            "telephone_number": "561-275-7604",
            "fax_number": "561-802-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SE PALM CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944914",
            "telephone_number": "772-288-9929",
            "fax_number": "772-288-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL SPECIALISTS OF THE PALM BEACHES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OB/GYN SPECIALISTS OF THE PALM BEACHES PA",
        "enumeration_date": "2013-11-15",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "BURIGO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-275-7604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME64730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372700916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.