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SOUTHEAST GYNECOLOGICAL SPECIALTY PA
NPI 1508921818
Obstetrics & Gynecology - Gynecologic Oncology in Margate, FL

Active since December 27, 2006
2964 N STATE ROAD 7, SUITE 100, MARGATE, FL 33063(954) 974-5190(954) 974-0743 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeast Gynecological Specialty Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST GYNECOLOGICAL SPECIALTY PA (NPI 1508921818) is a healthcare organization registered as a gynecologic oncology in Margate, Florida and active in the NPI registry since December 2006. The organization lists Laura B Burke, Mcc, as its authorized official.

NPPES Registry Identity

NPI1508921818
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameSOUTHEAST GYNECOLOGICAL SPECIALTY PA
Location Address2964 N STATE ROAD 7, SUITE 100Margate, FL 33063-5755
Mailing Address2964 N State Road 7, Suite 100Margate, FL 33063-5755 · (954) 974-5190 · Fax (954) 974-0743
Phone(954) 974-5190
Fax(954) 974-0743
Organization SubpartNo
Authorized OfficialLaura B BurkeMcc · (954) 974-5190
Enumeration DateDecember 27, 2006
Last NPPES UpdateNovember 30, 2010
✔ NPI 1508921818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
2964 N STATE ROAD 7, Margate, FL 33063
Open in Google Maps ↗

Other Identifiers 1

Medicare PINK5625FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Gynecological Specialty Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Gynecological Specialty PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boniface Ndubisi, MD
Gynecological Oncology
NPI 1730189697
2964 N STATE ROAD 7 STE 100
Margate, FL 33063
(954) 974-5190
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Gynecological Specialty PA's NPI number?

The NPI number for Southeast Gynecological Specialty PA is 1508921818. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Southeast Gynecological Specialty PA located?

Southeast Gynecological Specialty PA is located at 2964 N State Road 7 Suite 100, Margate, FL 33063. The listed phone number is (954) 974-5190.

What is Southeast Gynecological Specialty PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Southeast Gynecological Specialty PA enrolled in Medicare?

Yes. Southeast Gynecological Specialty PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Gynecological Specialty PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gynecological Oncology) reassigns their Medicare billing to Southeast Gynecological Specialty PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Gynecological Specialty PA accept?

Health plans from AvMed list Southeast Gynecological Specialty PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Gynecological Specialty PA was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.