Individual provider Active NPI

Alan Keith Gruskin, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boca Raton, FL
National Provider Identifier
1174586515
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS4832 Issued in FL
Practice address
900 NW 13TH St Ste 104
Boca Raton, FL 33486-2350
Phone
(561) 394-3587
Fax
(561) 394-4530
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS4832 FL Primary

Addresses

Primary practice location

900 NW 13TH St Ste 104
Boca Raton, FL 33486-2350

Mailing address

900 NW 13TH St Ste 104
Boca Raton, FL 33486-2350
Phone (561) 394-3587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080827000302 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Anesthesiology 7911073929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 NW 13TH St
Suite 104
Boca Raton, FL 33486-2350

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Gruskin DO PA CurrentSince Mar 1, 2011 Accepting new patients
Ira Martin Fine MD PA Current Accepting new patients
Verhees & Associates Physical Therapy Institute Inc PastSince Sep 10, 2023 Accepting new patients

Locations

900 NW 13th St
Ste 104
Boca Raton, FL 33486
Phone (561) 394-0214

7401 N University Dr
Ste 106
Tamarac, FL 33321
Phone (954) 722-6777

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1174586515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NW 13TH ST STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862350",
            "telephone_number": "561-394-3587",
            "fax_number": "561-394-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 13TH ST STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862350",
            "telephone_number": "561-394-3587",
            "fax_number": "561-394-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSKIN",
        "first_name": "ALAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS4832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.