NPIMap

Organization Active NPI

Delray Physician Care Center LLC

Doing business as Delray Physician Care Center

  • General Practice Physician
  • Delray Beach, FL
National Provider Identifier
1003247123
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DELRAY PHYSICIAN CARE CENTER LLC
Doing business as
Delray Physician Care Center
Practice address
2280 W Atlantic Ave
Delray Beach, FL 33445-4637
Phone
(561) 278-3134
Fax
(561) 278-3922
NPI assigned
Nov 30, 2013
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Marie Seide
Title
Office Manager
Phone
(561) 278-3134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2280 W Atlantic Ave
Delray Beach, FL 33445-4637

Mailing address

2280 W Atlantic Ave
Delray Beach, FL 33445-4637
Phone (561) 278-3134

Other names 1

  • Delray Physician Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210805001118 FL Part B Supplier - Clinic/Group Practice 2668876152 Receives reassigned benefits from 4 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1385769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1003247123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454637",
            "telephone_number": "561-278-3134",
            "fax_number": "561-278-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 W ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454637",
            "telephone_number": "561-278-3134",
            "fax_number": "561-278-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY PHYSICIAN CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-30",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "SEIDE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-278-3134"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delray Physician Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.