NPIMap

Organization Active NPI

Proton International - Delray, LLC

  • Radiation Oncology Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1073019352
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
PROTON INTERNATIONAL - DELRAY, LLC
Practice address
5280 Linton Blvd
Delray Beach, FL 33484-6516
Phone
(561) 323-6498
Fax
(561) 323-6502
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Mr. Charles Yoo
Title
Board Member
Phone
(630) 649-4060

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X
Radiation Therapy Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471R0002X
Clinic/Center 261Q00000X
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

5280 Linton Blvd
Delray Beach, FL 33484-6516

Mailing address

922 Hawkhorn CT
Alpharetta, GA 30005-4358
Phone (630) 649-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190214002971 FL Part B Supplier - Radiation Therapy Center 3678811759 Receives reassigned benefits from 6 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

5280 Linton Blvd
Ste A
Delray Beach, FL 33484

5280 Linton Blvd
Ste B
Delray Beach, FL 33484

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1073019352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HAWKHORN CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054358",
            "telephone_number": "630-649-4060",
            "fax_number": "312-896-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846516",
            "telephone_number": "561-323-6498",
            "fax_number": "561-323-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTON INTERNATIONAL - DELRAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "630-649-4060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 2021; 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.