NPIMap

Organization Active NPI

Pardo Forstot Baca & Alboukrek PA

  • Rheumatology Physician
  • Boca Raton, FL
National Provider Identifier
1003919093
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
PARDO FORSTOT BACA & ALBOUKREK PA
Practice address
1050 NW 15TH St
Suite 212a
Boca Raton, FL 33486-1375
Phone
(561) 368-5611
Fax
(561) 368-4745
NPI assigned
Sep 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Ira Pardo, MDNPI 1659474443
Title
Owner
Phone
(561) 368-2125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

1050 NW 15TH St
Suite 212a
Boca Raton, FL 33486-1375

Mailing address

1050 NW 15TH St
Suite 208a
Boca Raton, FL 33486-1375
Phone (561) 368-5611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001853 FL Part B Supplier - Clinic/Group Practice 0042203895 Receives reassigned benefits from 7 practitioners
Practice locations: Boca Raton, FL; Delray Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Pardo Forstot Baca Alboukrek PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1050 NW 15th St
Ste 208A
Boca Raton, FL 33486
Phone (561) 368-2125

1050 NW 15th St
Ste 212A
Boca Raton, FL 33486
Phone (561) 368-5611

5162 Linton Blvd
Ste 101
Delray Beach, FL 33484
Phone (561) 368-9776

Practitioners & affiliated clinicians

Practitioners 9

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003919093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 208A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-368-5611",
            "fax_number": "561-498-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 212A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-368-5611",
            "fax_number": "561-368-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARDO FORSTOT BACA & ALBOUKREK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-368-2125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "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 Aug 22, 2020; 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.