Active NPI
Delray Efl Imaging Center LLC
Doing business as Delray Open Imaging Center
- Diagnostic Radiology Physician
- Delray Beach, FL
National Provider Identifier
1215990833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DELRAY EFL IMAGING CENTER LLC
- Doing business as
- Delray Open Imaging Center
- Practice address
- 4800 Linton Blvd
Building C
Delray Beach, FL 33445-6584 - Phone
- (561) 638-2499
- NPI assigned
- Apr 7, 2006
- Last updated
- May 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanday Fogarty
- Title
- VP Imaging Services
- Phone
- (561) 838-3630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
4800 Linton Blvd
Building C
Delray Beach, FL 33445-6584
Mailing address
4800 Linton Blvd
Building C
Delray Beach, FL 33445-6584
Phone (561) 638-2499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272321200 | Medicaid | FL |
Other names 1
- Delray Open Imaging Center
National Provider Directory
National Provider DirectoryLocations
4800 Linton Blvd
Ste C
Delray Beach, FL 33445
Phone (561) 638-2488
2964 N State Road 7
Ste 110
Margate, FL 33063
Phone (954) 972-7224
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.
-
- Diagnostic Radiology Physician
- Delray Beach, FL
- NPI 1376514026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274140800000",
"number": "1215990833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 LINTON BLVD",
"address_2": "BUILDING C",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334456584",
"telephone_number": "561-638-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 LINTON BLVD",
"address_2": "BUILDING C",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334456584",
"telephone_number": "561-638-2499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELRAY EFL IMAGING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2010-05-18",
"status": "A",
"authorized_official_last_name": "FOGARTY",
"authorized_official_first_name": "WANDAY",
"authorized_official_title_or_position": "VP IMAGING SERVICES",
"authorized_official_telephone_number": "561-838-3630"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272321200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Delray Open Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.