NPIMap

Organization Active NPI

Center for Bone and Joint Surgery of the Palm Beaches, P.a.

  • Orthopaedic Surgery Physician
  • Royal Palm Beach, FL
National Provider Identifier
1124498811
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.
Practice address
440 N State Road 7
Royal Palm Beach, FL 33411-3504
Phone
(561) 798-6600
NPI assigned
Oct 7, 2015
Reactivated
Aug 17, 2018
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Harvey Montijo, M.D.
Title
President
Phone
(561) 803-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

440 N State Road 7
Royal Palm Beach, FL 33411-3504

Mailing address

10131 Forest Hill Blvd Ste 230
Wellington, FL 33414-6109
Phone (561) 798-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214000527 FL DME Supplier - Physician - General PracticeDME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Sports MedicineDME Supplier - Physician - Physical and RehabilitationDME Supplier - Independently-Practicing Occupational Therapist 3678568227 1 other NPI on this enrollment
Practice locations: Royal Palm Beach, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Center for Bone Joint Surg

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

440 N State Road 7
Ste 103
Royal Palm Beach, FL 33411

440 N State Road 7
Ste B
Royal Palm Beach, FL 33411

440 N State Road 7
Ste E
Royal Palm Beach, FL 33411

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1124498811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 230",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N STATE ROAD 7",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113504",
            "telephone_number": "561-798-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR BONE AND JOINT SURGERY OF THE PALM BEACHES, P.A.",
        "enumeration_date": "2015-10-07",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "deactivation_date": "2018-07-25",
        "reactivation_date": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MONTIJO",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-803-8616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.