Organization Active NPI

Palm Beach Infectious Disease Institute

  • Voluntary or Charitable Agency
  • Jupiter, FL
National Provider Identifier
1063737393
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PALM BEACH INFECTIOUS DISEASE INSTITUTE
Practice address
2055 Military Trail
208
Jupiter, FL 33458-7830
Phone
(561) 655-1395
Fax
(561) 746-8447
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. Istvan Krisko, M.D., PH.D.
Title
President
Phone
(561) 655-1395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

2055 Military Trail
208
Jupiter, FL 33458-7830

Mailing address

2055 Military TRL
208
Jupiter, FL 33458-7801
Phone (561) 655-1395

National Provider Directory

National Provider Directory

Locations

2055 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 575-6811

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1063737393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL",
            "address_2": "208",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587801",
            "telephone_number": "561-655-1395",
            "fax_number": "561-746-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRAIL",
            "address_2": "208",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587830",
            "telephone_number": "561-655-1395",
            "fax_number": "561-746-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH INFECTIOUS DISEASE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "KRISKO",
        "authorized_official_first_name": "ISTVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-655-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.