Organization Active NPI

Boca Integrative Health

  • Adult Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1003132143
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
BOCA INTEGRATIVE HEALTH
Practice address
7100 W Camino Real
Ste. 207
Boca Raton, FL 33433-5510
Phone
(561) 391-2770
Fax
(561) 391-2930
NPI assigned
Apr 14, 2010
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Mr. Andrew Jed Rader, JD
Title
Ceo
Phone
(561) 391-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

7100 W Camino Real
Ste. 207
Boca Raton, FL 33433-5510

Mailing address

7100 W Camino Real
Ste. 207
Boca Raton, FL 33433-5510
Phone (561) 391-2770

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10036/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1003132143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "STE. 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-391-2770",
            "fax_number": "561-391-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "STE. 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-391-2770",
            "fax_number": "561-391-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-391-2770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

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