Organization Active NPI

Urology Center of Palm Beach P a

  • Urology Physician
  • Loxahatchee, FL
National Provider Identifier
1124039508
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CENTER OF PALM BEACH P A
Practice address
13005 Southern Blvd Ste 135
Loxahatchee, FL 33470-9231
Phone
(561) 615-1234
Fax
(561) 615-1411
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Mrs. Claudina Kandel
Title
Office Manager
Phone
(561) 615-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

13005 Southern Blvd Ste 135
Loxahatchee, FL 33470-9231

Mailing address

13005 Southern Blvd Ste 135
Loxahatchee, FL 33470-9231
Phone (561) 615-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000995 FL Part B Supplier - Clinic/Group Practice 3173591450 Receives reassigned benefits from 1 practitioner
Practice locations: Loxahatchee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1027190Urology Center of Palm Beach13005 Southern Blvd Ste 135, Loxahatchee, FL 33470Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

4600 Military Trl
Ste 122
Jupiter, FL 33458
Phone (561) 615-1234

13005 State Road 80
Ste 135
Loxahatchee, FL 33470
Phone (561) 614-1234

12983 Southern Blvd
Ste 206
Loxahatchee, FL 33470
Phone (561) 203-9285

1920 Palm Beach Lakes Blvd
Ste 115
West Palm Beach, FL 33409
Phone (561) 686-1707

Practitioners & affiliated clinicians

Practitioners 1

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1124039508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 135",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709231",
            "telephone_number": "561-615-1234",
            "fax_number": "561-615-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 135",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709231",
            "telephone_number": "561-615-1234",
            "fax_number": "561-615-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER OF PALM BEACH P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "KANDEL",
        "authorized_official_first_name": "CLAUDINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-615-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "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 Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.