Organization Active NPI

Palm Beach Internal Medicine

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1063695708
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME082262 Issued in FL
Legal business name
PALM BEACH INTERNAL MEDICINE
Practice address
3502 Kyoto Gardens Dr
Palm Beach Gardens, FL 33410-2984
Phone
(561) 776-8891
Fax
(866) 436-2183
NPI assigned
Dec 17, 2007
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Dr. Rupesh R Dharia, MDNPI 1548223126
Title
Managing Member
Phone
(561) 267-9311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME082262 FL Primary

Addresses

Primary practice location

3502 Kyoto Gardens Dr
Palm Beach Gardens, FL 33410-2984

Mailing address

3502 Kyoto Gardens Dr Ste a
Palm Beach Gardens, FL 33410-2899
Phone (561) 776-8891

National Provider Directory

National Provider Directory

Locations

3401 Pga Blvd
Ste 330
Palm Beach Gardens, FL 33410
Phone (561) 776-8991

3502 Kyoto Gardens Dr
Palm Beach Gardens, FL 33410
Phone (561) 366-6777

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1063695708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR STE A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102899",
            "telephone_number": "561-776-8891",
            "fax_number": "866-436-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102984",
            "telephone_number": "561-776-8891",
            "fax_number": "866-436-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "DHARIA",
        "authorized_official_first_name": "RUPESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-267-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME082262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.