Organization Active NPI

Hyperbaric Services of the Palm Beaches LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Delray Beach, FL
National Provider Identifier
1124129408
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
HYPERBARIC SERVICES OF THE PALM BEACHES LLC
Practice address
Suite 3&4
5130 Linton Blvd Palm Court Plaza
Delray Beach, FL 33484-6597
Phone
(561) 818-6125
Fax
(561) 819-6127
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Miss Constance Anne Governale
Title
Administrator
Phone
(561) 819-6125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

Suite 3&4
5130 Linton Blvd Palm Court Plaza
Delray Beach, FL 33484-6597

Mailing address

Suite H 3&4
5130 Linton Blvd, Palm Court Plaza
Delray Beach, FL 33484-6597
Phone (561) 818-6125

Other identifiers 1

IdentifierTypeStateIssuer
98328OtherFLBLUE CORSS/BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000162 FL Part B Supplier - Clinic/Group Practice 9931294121 Receives reassigned benefits from 1 practitioner
Practice locations: Delray BCH, FL

National Provider Directory

National Provider Directory

Locations

525 NE 3rd Ave
Ste 108
Delray Beach, FL 33444
Phone (561) 819-6125

5130 Linton Blvd
Ste H4
Delray Beach, FL 33484
Phone (561) 703-6936

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1124129408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE H 3&4",
            "address_2": "5130 LINTON BLVD, PALM COURT PLAZA",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846597",
            "telephone_number": "561-818-6125",
            "fax_number": "561-819-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 3&4",
            "address_2": "5130 LINTON BLVD PALM COURT PLAZA",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846597",
            "telephone_number": "561-818-6125",
            "fax_number": "561-819-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERBARIC SERVICES OF THE PALM BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "GOVERNALE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-819-6125",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CORSS/BLUE SHEILD",
            "identifier": "98328",
            "state": "FL"
        }
    ],
    "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 2, 2022; 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.