Active NPI
Patricia Anastasio, MD
- Pediatrics Physician
- Boca Raton, FL
National Provider Identifier
1205927043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0068591
- Practice address
- 5458 Town Center Rd
Suite 20
Boca Raton, FL 33428 - Phone
- (561) 391-6210
- Fax
- (561) 391-2810
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0068591 | FL | Primary |
Addresses
Primary practice location
5458 Town Center Rd
Suite 20
Boca Raton, FL 33428
Mailing address
5458 Town Center Rd
Suite 20
Boca Raton, FL 33428
Phone (561) 368-4635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068591 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- patricia.anastasio.1@24265.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205927043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD",
"address_2": "SUITE 20",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33428",
"telephone_number": "561-368-4635",
"fax_number": "561-391-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD",
"address_2": "SUITE 20",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33428",
"telephone_number": "561-391-6210",
"fax_number": "561-391-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANASTASIO",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0068591",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.