Organization Active NPI

First Patient Care Clinic,Inc

  • Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1154988616
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FIRST PATIENT CARE CLINIC,INC
Practice address
600 N Congress Ave Ste 420
Delray Beach, FL 33445-3458
Phone
(954) 599-0340
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Dr. Guerry Faustin, MDNPI 1114359700
Title
Ceo
Phone
(561) 266-3487

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

600 N Congress Ave Ste 420
Delray Beach, FL 33445-3458

Mailing address

600 N Congress Ave Ste 420
Delray Beach, FL 33445-3458
Phone (561) 266-3487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200707002593 FL Part B Supplier - Clinic/Group Practice 3678996816 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2187921First Patient Care Clinic600 N Congress Ave Ste 420, Delray Beach, FL 33445Certificate of waiverJul 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
First Patient Care Clinic Riviera3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N Congress Ave
Ste 420
Delray Beach, FL 33445
Phone (561) 266-3487

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1154988616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N CONGRESS AVE STE 420",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453458",
            "telephone_number": "561-266-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CONGRESS AVE STE 420",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453458",
            "telephone_number": "954-599-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PATIENT CARE CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "GUERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-266-3487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.