Mdvip Medical Group CT LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MDVIP MEDICAL GROUP CT LLC

Practice address

4950 Communication Ave
Suite 100
Boca Raton, FL 33431-3307

Phone

(561) 982-4300

Fax

(561) 953-6617

NPI assigned

Apr 25, 2016

Organization subpart

Yes

Parent organization

MDVIP MEDICAL GROUP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Andrea Klemes, D.O.

Title

Chief Medical Officer

Phone

(561) 982-4300

Specialties & licenses 1

Addresses

Part of

Mdvip Medical Group Holdings LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mdvip Medical Group Holdings, LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1568817799
  NPPES parent name

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1174978308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313307",
            "telephone_number": "561-982-4300",
            "fax_number": "561-953-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313307",
            "telephone_number": "561-982-4300",
            "fax_number": "561-953-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDVIP MEDICAL GROUP CT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDVIP MEDICAL GROUP HOLDINGS LLC",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Meadows, MD
• Meaningful Milestones
• Shoshana Meckler, MS, RD, LDN

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.