Organization Active NPI

Minkoffsportsopedic Associates P.a.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1144349671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
ME0079507 Issued in FL
Legal business name
MINKOFFSPORTSOPEDIC ASSOCIATES P.A.
Practice address
9070 Kimberly Blvd Ste 24
Boca Raton, FL 33434-2861
Phone
(561) 999-9349
Fax
(561) 999-9368
NPI assigned
Mar 28, 2007
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
Jeffrey Minkoff, MD
Title
President
Phone
(561) 999-9349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X ME0079507 FL Primary

Addresses

Primary practice location

9070 Kimberly Blvd Ste 24
Boca Raton, FL 33434-2861

Mailing address

9070 Kimberly Blvd Ste 24
Boca Raton, FL 33434-2861
Phone (561) 999-9349

National Provider Directory

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 24
Boca Raton, FL 33434
Phone (561) 482-6900

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144349671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD STE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342861",
            "telephone_number": "561-999-9349",
            "fax_number": "561-999-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD STE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342861",
            "telephone_number": "561-999-9349",
            "fax_number": "561-999-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINKOFFSPORTSOPEDIC ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINKOFF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-999-9349",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME0079507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.