Northlake Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NORTHLAKE MEDICAL CENTER

Practice address

4300 Northlake Blvd
Palm Beach Gardens, FL 33410-6254

Phone

(561) 626-9190

Fax

(561) 626-7274

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert William Mackler, M.D.NPI 1255477501

Title

Owner

Phone

(561) 626-9192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Mackler, MD

  • Family Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1255477501
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215092697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106254",
            "telephone_number": "561-626-9190",
            "fax_number": "561-626-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106254",
            "telephone_number": "561-626-9190",
            "fax_number": "561-626-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-626-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME39831",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North County Imaging
• North Palm Beach County Surgery Center LLC (North County Surgicenter)
• North Palm Dermatology, LLC
• North Palm Family Practice, LLC
• North Palm Neursurgery, PL
• Northlake Pharmacy LLC (Northlake Pharmacy)
• Northlake Pharmacy LLC
• Northlake Recovery, LLC
• Northland Hearing Centers Inc (Audiology and Speech Pathology)
• Northstar Behavioral Health Services, LLC (Northstar Day Program)

• Primary Care Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.