Organization Active NPI

Natalio J Chediak MD PA

Doing business as Boca Raton Sleep Disorders Center

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1053506790
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME45193 Issued in FL
Legal business name
NATALIO J CHEDIAK MD PA
Doing business as
Boca Raton Sleep Disorders Center
Practice address
660 Glades Rd
Suite 220
Boca Raton, FL 33431-6466
Phone
(561) 750-9881
Fax
(561) 750-9644
NPI assigned
Sep 6, 2007
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Natalio J Chediak, MDNPI 1851451256
Title
Physician
Phone
(561) 750-9881

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME45193 FL Primary

Addresses

Primary practice location

660 Glades Rd
Suite 220
Boca Raton, FL 33431-6466

Mailing address

660 Glades Road
Suite 220
Boca Raton, FL 33431-6466
Phone (561) 750-9881

Other identifiers 1

IdentifierTypeStateIssuer
74870OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • BOCA RATON SLEEP DISORDERS CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000507 FL Part B Supplier - Clinic/Group Practice 1658344718 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

660 Glades Rd
Ste 220
Boca Raton, FL 33431
Phone (561) 750-9881

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1053506790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES ROAD",
            "address_2": "SUITE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316466",
            "telephone_number": "561-750-9881",
            "fax_number": "561-750-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "address_2": "SUITE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316466",
            "telephone_number": "561-750-9881",
            "fax_number": "561-750-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIO J CHEDIAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CHEDIAK",
        "authorized_official_first_name": "NATALIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-750-9881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME45193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "74870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOCA RATON SLEEP DISORDERS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2009; 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.