NPIMap

Organization Active NPI

Delray Advanced Medical Inc

  • Specialist
  • Delray Beach, FL
National Provider Identifier
1063690477
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HCC7923 Issued in FL
Legal business name
DELRAY ADVANCED MEDICAL INC
Practice address
1836 South Federal Highway
Delray Beach, FL 33483
Phone
(561) 330-6640
Fax
(561) 330-6642
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. Dariusz M Baran
Title
President
Phone
(561) 330-6640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X HCC7923 FL Primary

Addresses

Primary practice location

1836 South Federal Highway
Delray Beach, FL 33483

Mailing address

1836 South Federal Highway
Delray Beach, FL 33483
Phone (561) 330-6640

Other identifiers 1

IdentifierTypeStateIssuer
HCC7923OtherFLHEALTH CARE CLINIC LICENS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1063690477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH FEDERAL HIGHWAY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-330-6640",
            "fax_number": "561-330-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH FEDERAL HIGHWAY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-330-6640",
            "fax_number": "561-330-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY ADVANCED MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BARAN",
        "authorized_official_first_name": "DARIUSZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-330-6640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC7923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC LICENS",
            "identifier": "HCC7923",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.