Individual provider Active NPI

Elton Taylor II, D.O., M.B.A.

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1144654070
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS018810 Issued in PA
Practice address
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone
(877) 866-7123
NPI assigned
Aug 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS018810 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314

Mailing address

1 Market St
Apt 629
Camden, NJ 08102-2308
Phone (706) 831-2376

Other practice location 1

1 Medical Center Dr
Stratford, NJ 08084-1500
Phone (706) 831-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921000935 PA Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 0345514881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Post Acute Care Physicians of the Northeast PAGroup PAC ID 9335378066, 34 clinicians

Practice addresses (Care Compare)

325 Sentry Pkwy Building 5
Suite 200
Blue Bell, PA 19422-2312
Phone (954) 399-4673

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2339
Removal of skin lesions82
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the Northeast PA Family Medicine CurrentSince Aug 7, 2017 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

325 Sentry Pkwy E
Bldg 5W
Blue Bell, PA 19422
Phone (484) 664-8181

325 Sentry Pkwy
Bldg 5
Blue Bell, PA 19422
Phone (610) 277-3430

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

845 Germantown Pike
Plymouth Mtng, PA 19462
Phone (610) 279-7300

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144654070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARKET ST",
            "address_2": "APT 629",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081022308",
            "telephone_number": "706-831-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276314",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841500",
            "country_code": "US",
            "telephone_number": "706-831-2376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELTON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018810",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.