Organization Active NPI

Gjorgji Trnovski MD PA

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1013261627
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 102889 Issued in FL
Legal business name
GJORGJI TRNOVSKI MD PA
Practice address
1050 NW 15TH St
Suite 215a
Boca Raton, FL 33486-1375
Phone
(561) 955-1890
Fax
(561) 392-8103
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. Gjorgji Trnovski, M.D.NPI 1245440668
Title
Owner
Phone
(561) 955-1890

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 102889 FL Primary

Addresses

Primary practice location

1050 NW 15TH St
Suite 215a
Boca Raton, FL 33486-1375

Mailing address

1050 NW 15TH St
Suite 215a
Boca Raton, FL 33486-1375
Phone (561) 955-1890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000431 FL Part B Supplier - Clinic/Group Practice 0749432748 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1050 NW 15th St
Ste 215A
Boca Raton, FL 33486
Phone (561) 392-7704

7301 W Palmetto Park Rd
#201
Boca Raton, FL 33433

7301 W Palmetto Park Rd
Ste 201C
Boca Raton, FL 33433
Phone (561) 955-1899

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1013261627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 215A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-955-1890",
            "fax_number": "561-392-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 215A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-955-1890",
            "fax_number": "561-392-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJORGJI TRNOVSKI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "TRNOVSKI",
        "authorized_official_first_name": "GJORGJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-955-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 102889",
            "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 Nov 5, 2012; 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.