NPIMap

Organization Active NPI

Medical Transitional Care Services, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Loxahatchee, FL
National Provider Identifier
1114376506
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
MEDICAL TRANSITIONAL CARE SERVICES, INC
Practice address
15673 Southern Blvd # 107-324
Loxahatchee, FL 33470-9218
Phone
(917) 254-1294
Fax
(561) 293-8260
NPI assigned
Jun 7, 2016
Last updated
Jul 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Michelle SantomassinoNPI 1871668517
Title
Provider
Phone
(917) 254-1294

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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

15673 Southern Blvd # 107-324
Loxahatchee, FL 33470-9218

Mailing address

15673 Southern Blvd # 107-324
Loxahatchee, FL 33470-9218
Phone (917) 254-1294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109002085 FL Part B Supplier - Clinic/Group Practice 1658652557 Receives reassigned benefits from 9 practitioners
Practice locations: Loxahatchee, FL

National Provider Directory

National Provider Directory

Locations

12959 Palms West Dr
Ste 220
Loxahatchee, FL 33470
Phone (561) 784-8795

15673 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 877-0633

15673 Southern Blvd
Ste 107324
Loxahatchee, FL 33470

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1114376506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15673 SOUTHERN BLVD # 107-324",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709218",
            "telephone_number": "917-254-1294",
            "fax_number": "561-293-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15673 SOUTHERN BLVD # 107-324",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709218",
            "telephone_number": "917-254-1294",
            "fax_number": "561-293-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TRANSITIONAL CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "SANTOMASSINO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "917-254-1294"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.