Active NPI
Sutrah Joseph, PA-C
- Medical Physician Assistant
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9120062
- Practice address
- 3196 N Federal Hwy
Boca Raton, FL 33431-6700 - Phone
- (561) 849-3000
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9120062 | FL | |
| Medical Physician Assistant | 363AM0700X | 9120062 | FL | Primary |
Addresses
Primary practice location
3196 N Federal Hwy
Boca Raton, FL 33431-6700
Mailing address
11253 Coral Reef Dr
Boca Raton, FL 33498-1966
Phone (954) 756-2617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3196 N Federal Hwy
Suite a
Boca Raton, FL 33431-6700
Phone (561) 849-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9120062 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usai Med LLC | Current | Accepting new patients | |
| Anti-Aging Alliance LLC | Past | Accepting new patients |
Locations
3196 N Federal Hwy
Ste A
Boca Raton, FL 33431
Phone (561) 445-4489
3196 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 338-3999
Interoperability endpoints
- rofemedical.sutrahjoseph@155897.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1063397891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11253 CORAL REEF DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334981966",
"telephone_number": "954-756-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3196 N FEDERAL HWY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316700",
"telephone_number": "561-849-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "SUTRAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "9120062",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9120062",
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.