NPIMap

Organization Active NPI

Mellow Kids, PLLC.

  • Pediatric Anesthesiology Physician
  • Delray Beach, FL
National Provider Identifier
1104397595
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
Legal business name
MELLOW KIDS, PLLC.
Practice address
241 NE 4TH St Ste a
Delray Beach, FL 33444-3805
Phone
(786) 521-1587
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. Gershon Fink, DONPI 1518114644
Title
President
Phone
(786) 521-1587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP3000X Primary

Addresses

Primary practice location

241 NE 4TH St Ste a
Delray Beach, FL 33444-3805

Mailing address

4350 Post Ave
Miami Beach, FL 33140-3012
Phone (786) 521-1587

National Provider Directory

National Provider Directory

Locations

241 NE 4th St
Ste A
Delray Beach, FL 33444
Phone (786) 521-1587

Practitioners & affiliated clinicians

Practitioners 2

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": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1104397595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 POST AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403012",
            "telephone_number": "786-521-1587",
            "fax_number": "786-275-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NE 4TH ST STE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443805",
            "telephone_number": "786-521-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLOW KIDS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "GERSHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-521-1587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "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 May 11, 2022; 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.