Organization Active NPI

Nuclear Studies of South Florida,P.a.

  • Nuclear Imaging & Therapy Physician
  • Boca Raton, FL
National Provider Identifier
1144201450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
Legal business name
NUCLEAR STUDIES OF SOUTH FLORIDA,P.A.
Practice address
5458 Town Center Rd
Suite 103
Boca Raton, FL 33486-1089
Phone
(561) 347-8077
Fax
(561) 347-7731
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jon Allen Kotler, M.D.NPI 1841305851
Title
President
Phone
(561) 347-8077

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
Nuclear Imaging & Therapy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0902X FL Primary

Addresses

Primary practice location

5458 Town Center Rd
Suite 103
Boca Raton, FL 33486-1089

Mailing address

PO Box 11697
Ft Lauderdale, FL 33339-1697
Phone (561) 347-8077

Other identifiers 2

IdentifierTypeStateIssuer
V2296OtherFLBLUE CROSS BLUE SHIELD
266567OtherFLAVMED

Other names 1

  • Metabolic Imaging of Boca Doing business as

National Provider Directory

National Provider Directory

Locations

5458 Town Center Rd
Ste 103
Boca Raton, FL 33486
Phone (561) 923-9599

8446 W Oakland Park Blvd
Sunrise, FL 33351

Practitioners & affiliated clinicians

Practitioners 4

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": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144201450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11697",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333391697",
            "telephone_number": "561-347-8077",
            "fax_number": "561-347-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-347-8077",
            "fax_number": "561-347-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR STUDIES OF SOUTH FLORIDA,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTLER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-347-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2296",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "266567",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metabolic Imaging of Boca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.