Active NPI
Maurice R. Peress
- Reproductive Endocrinology Physician
- Boca Raton, FL
National Provider Identifier
1144644634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- ME39615
- Practice address
- 875 Meadows Rd Ste 334
Boca Raton, FL 33486-2349 - Phone
- (561) 368-5500
- Fax
- (561) 368-4793
- NPI assigned
- Feb 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | ME39615 | FL | Primary |
Addresses
Primary practice location
875 Meadows Rd Ste 334
Boca Raton, FL 33486-2349
Mailing address
875 Meadows Rd Ste 334
Boca Raton, FL 33486-2349
Phone (561) 368-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39615 | FL | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boca Fertility, Inc | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Boca Fertility
- Reproductive Endocrinology Physician
- Boca Raton, FL
- NPI 1285690131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1144644634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 MEADOWS RD STE 334",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862349",
"telephone_number": "561-368-5500",
"fax_number": "561-368-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MEADOWS RD STE 334",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862349",
"telephone_number": "561-368-5500",
"fax_number": "561-368-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERESS",
"first_name": "MAURICE",
"middle_name": "R.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-05",
"last_updated": "2024-04-29",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "FL",
"license": "ME39615",
"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 Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.