Organization Active NPI

Dr Dov Pickholtz DO PA

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1194194480
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS12425 Issued in FL
Legal business name
DR DOV PICKHOLTZ DO PA
Practice address
7964 Little LN
Boca Raton, FL 33433-4146
Phone
(561) 450-9933
Fax
(561) 450-9934
NPI assigned
Sep 17, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Dr. Dov Alexander Pickholtz, DONPI 1649408493
Title
Owner
Phone
(561) 450-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS12425 FL Primary

Addresses

Primary practice location

7964 Little LN
Boca Raton, FL 33433-4146

Mailing address

7964 Little LN
Boca Raton, FL 33433-4146
Phone (561) 450-9933

National Provider Directory

National Provider Directory

Locations

5341 Atlantic Ave
Ste 301
Delray Beach, FL 33484
Phone (305) 807-8089

Practitioners & affiliated clinicians

Practitioners 1

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": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1194194480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 LITTLE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334146",
            "telephone_number": "561-450-9933",
            "fax_number": "561-450-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 LITTLE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334146",
            "telephone_number": "561-450-9933",
            "fax_number": "561-450-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DOV PICKHOLTZ DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "PICKHOLTZ",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-450-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.