Individual provider Active NPI

Justin Frobose, DC

  • Chiropractor
  • Palm Beach, FL
National Provider Identifier
1215435797
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12382 Issued in FL
Practice address
249 Peruvian Ave
Palm Beach, FL 33480-6034
Phone
(561) 832-0699
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12382 FL Primary

Addresses

Primary practice location

249 Peruvian Ave
Palm Beach, FL 33480-6034

Mailing address

249 Peruvian Ave
Palm Beach, FL 33480-6034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615002191 FL Practitioner - Chiropractic 0840612156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12382FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Chiropractic PLLC Chiropractor CurrentSince Mar 12, 2020 Accepting new patients
Dr Marvin J Babyatsky Chiropractor Past Accepting new patients

Locations

249 Peruvian Ave
Ste R22
Palm Beach, FL 33480

249 Peruvian Ave
Palm Beach, FL 33480
Phone (407) 832-0699

Organizations & group practices 2

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1215435797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 PERUVIAN AVE",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334806034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 PERUVIAN AVE",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334806034",
            "telephone_number": "561-832-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROBOSE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.