Organization Active NPI

Bonemender, LLC.

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1033277850
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BONEMENDER, LLC.
Practice address
9033 Glades Rd Ste D
Boca Raton, FL 33434-3939
Phone
(954) 491-6969
Fax
(888) 426-8955
NPI assigned
Dec 5, 2006
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Miss Marina Tabakman
Title
Practice Manager/Administrator
Phone
(954) 491-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

9033 Glades Rd Ste D
Boca Raton, FL 33434-3939

Mailing address

9033 Glades Rd Ste D
Boca Raton, FL 33434-3939
Phone (954) 491-6969

Other identifiers 3

IdentifierTypeStateIssuer
222259OtherFLAVMED
279755100MedicaidFL
23404OtherFLBC BS OF FLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000622 FL Part B Supplier - Clinic/Group Practice 1153594486 Receives reassigned benefits from 1 practitioner
Practice locations: Marathon, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

5701 Overseas Hwy
Ste 3
Marathon, FL 33050
Phone (305) 289-9490

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1033277850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 GLADES RD STE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343939",
            "telephone_number": "954-491-6969",
            "fax_number": "888-426-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 GLADES RD STE D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343939",
            "telephone_number": "954-491-6969",
            "fax_number": "888-426-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONEMENDER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "TABAKMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-491-6969",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "222259",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279755100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FLA",
            "identifier": "23404",
            "state": "FL"
        }
    ],
    "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 May 24, 2016; 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.