Active NPI
Simm Gottesman, AP
- Acupuncturist
- Boca Raton, FL
National Provider Identifier
1114188844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000036
- Practice address
- 8904-F SW 22ND St
Boca Raton, FL 33433-7377 - Phone
- (561) 488-4887
- Fax
- (561) 488-4889
- NPI assigned
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000036 | FL | Primary |
Addresses
Primary practice location
8904-F SW 22ND St
Boca Raton, FL 33433-7377
Mailing address
8904-F SW 22ND St
Boca Raton, FL 33433-7377
Phone (561) 488-4887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000036 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1114188844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8904-F SW 22ND ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337377",
"telephone_number": "561-488-4887",
"fax_number": "561-488-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8904-F SW 22ND ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337377",
"telephone_number": "561-488-4887",
"fax_number": "561-488-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTESMAN",
"first_name": "SIMM",
"credential": "AP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "000036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.