Organization Active NPI

Jeffrey H. Garelick, MD PA

  • Gastroenterology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1184629917
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0070879 Issued in FL
Legal business name
JEFFREY H. GARELICK, MD PA
Practice address
3370 Burns Rd
Ste 104
Palm Beach Gardens, FL 33410-4327
Phone
(561) 691-0320
Fax
(561) 691-4721
NPI assigned
Jun 17, 2005
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Lisa Bolognini
Title
Administrative Director
Phone
(561) 659-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0070879 FL Primary

Addresses

Primary practice location

3370 Burns Rd
Ste 104
Palm Beach Gardens, FL 33410-4327

Mailing address

2001 N Flagler Dr
West Palm Beach, FL 33407-6109
Phone (561) 659-6632

Other identifiers 1

IdentifierTypeStateIssuer
253489400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1184629917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076109",
            "telephone_number": "561-659-6632",
            "fax_number": "561-655-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "STE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-691-0320",
            "fax_number": "561-691-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H. GARELICK, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BOLOGNINI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "561-659-6632"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0070879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253489400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.