Endocrinology and Diabetes Consultants

Primary specialty

SpecialistTaxonomy code 174400000X

License

07717 Issued in FL

Legal business name

ENDOCRINOLOGY AND DIABETES CONSULTANTS

Practice address

4915 S Congress Ave
Suite D
Lake Worth, FL 33461-4734

Phone

(561) 964-1411

Fax

(561) 964-3039

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Gulnaz Mirza, M.D. P.A.NPI 1215904354

Title

Owner

Phone

(561) 964-1411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Endocrinology and Diabetes Consultants3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Endocrinology & Diabetes Consultants

  • Clinic/Center
  • West Palm Beach, FL
  • NPI 1609105766
  NPD tax ID
• Gulnaz Mirza MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Lake Worth, FL
  • NPI 1427082031
  NPD tax ID

Locations

Practitioners 3

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

• Gulnaz Mirza, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Boynton Beach, FL
  • NPI 1215904354
  Medicare reassignment NPD Authorized official
• Sidney Johanna Centeno, LIFESTYLE COACH

  • Health Educator
  • Boynton Beach, FL
  • NPI 1053893636
  NPD (past)
• Andrea Johnson

  • Health Educator
  • Boynton Beach, FL
  • NPI 1902388440
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1063667996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 S CONGRESS AVE",
            "address_2": "SUITE D",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614734",
            "telephone_number": "561-964-1411",
            "fax_number": "561-964-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 S CONGRESS AVE",
            "address_2": "SUITE D",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614734",
            "telephone_number": "561-964-1411",
            "fax_number": "561-964-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY AND DIABETES CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "GULNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-964-1411",
        "authorized_official_credential": "M.D. P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "07717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Home Healthcare, Inc.
• Gaelle Altagrace Emmanuel
• Emotion Empowerment LLC
• Empathetic Touch Assisted Living Facility LLC
• Encompass Health Rehabilitation Hospital of Lake Worth, LLC
• Enesis Rehab Services
• Jennifer Engelhardt, DMD
• Jennifer A English, RPT
• Rocio Enriquez Rodriguez III
• Eric J Cohen DC PA

• Specialist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.