Active NPI
Fresenius Medical Care Boca Delray LLC
Doing business as Fresenius Kidney Care Boca Delray Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FRESENIUS MEDICAL CARE BOCA DELRAY LLC
- Doing business as
- Fresenius Kidney Care Boca Delray Dialysis
- Practice address
- 1905 Clint Moore Rd Ste 306
Boca Raton, FL 33496-2661 - Phone
- (561) 988-7100
- Fax
- (561) 988-6120
- NPI assigned
- Aug 2, 2021
- Last updated
- Oct 23, 2023
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
1905 Clint Moore Rd Ste 306
Boca Raton, FL 33496-2661
Mailing address
1905 Clint Moore Rd Ste 306
Boca Raton, FL 33496-2661
Phone (561) 988-7100
Other names 1
- Fresenius Kidney Care Boca Delray Dialysis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0918691 | Fresenius Medical Care Boca Delray, LLC | Certificate of waiver | Nov 18, 2026 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Fresenius Medical Care Panama City
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Panama City, FL
- NPI 1588974935
Member Of
-
dba Renal Care Center of North Georgia Bma
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Canton, GA
- NPI 1871605600
Member Of
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
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.
-
- Specialist
- Delray Beach, FL
- NPI 1205039989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1205500469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 CLINT MOORE RD STE 306",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962661",
"telephone_number": "561-988-7100",
"fax_number": "561-988-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 CLINT MOORE RD STE 306",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962661",
"telephone_number": "561-988-7100",
"fax_number": "561-988-6120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS MEDICAL CARE BOCA DELRAY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2021-08-02",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-699-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Fresenius Kidney Care Boca Delray Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fresenius Kidney Care Boca Delray Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
- Susan L Freeman, DNP
- Sandra Xiomara Freia, HAS
- Jenna Danielle Freitag, PA-C
- Mogen Mikhaylovich Frenkel, MD
- Fresenius Medical Care Boca Delray LLC (Fresenius Kidney Care Hamptons at Boca Raton)
- Fresh Perspective Psychology, LLC
- Cauvin Frett, M.D.
- Robert Russell Freund, M.ED., LMHC
- Fanelis Frias Fuentes, P.T.
- Abel Lazaro Frias
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.