Organization Active NPI

Delray Efl Imaging Center LLC

Doing business as Delray Open Imaging Center

  • Diagnostic Radiology Physician
  • Delray Beach, FL
National Provider Identifier
1215990833
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272321200MedicaidFL

Other names 1

  • Delray Open Imaging Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.