Organization Active NPI

Managed Care of North America

  • Health Maintenance Organization
  • Fort Lauderdale, FL
National Provider Identifier
1225193758
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MANAGED CARE OF NORTH AMERICA
Practice address
3230 W Commercial Blvd
Suite 190
Fort Lauderdale, FL 33309-3429
Phone
(954) 730-7131
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Glen Feingold
Title
Coo
Phone
(954) 730-7131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

3230 W Commercial Blvd
Suite 190
Fort Lauderdale, FL 33309-3429

Mailing address

3230 W Commercial Blvd
Suite 190
Fort Lauderdale, FL 33309-3429

Other identifiers 1

IdentifierTypeStateIssuer
076519800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Managed Care of North America2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3230 W Commercial Blvd
Ste 190
Ft Lauderdale, FL 33309
Phone (954) 730-7131

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1225193758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 W COMMERCIAL BLVD",
            "address_2": "SUITE 190",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 W COMMERCIAL BLVD",
            "address_2": "SUITE 190",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093429",
            "telephone_number": "954-730-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED CARE OF NORTH AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "FEINGOLD",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-730-7131"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076519800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

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