Delray Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME0057708 Issued in FL

Legal business name

DELRAY PEDIATRICS

Practice address

4800 Linton Blvd Ste E315
87
Delray Beach, FL 33445-6585

Phone

(561) 716-7783

Fax

(561) 819-6003

NPI assigned

Feb 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marcia Marie Malcolm, M.D.

Title

Owner

Phone

(561) 716-7783

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424476800000",
    "number": "1225420722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE E315",
            "address_2": "87",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456585",
            "telephone_number": "561-716-7783",
            "fax_number": "561-819-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE E315",
            "address_2": "87",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456585",
            "telephone_number": "561-716-7783",
            "fax_number": "561-819-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-716-7783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0057708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373118900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delray Modern Chiropractic Center PA
• Delray Nursing and Rehab LLC (Condor Rehabilitation Center)
• Delray Nursing and Rehab LLC (The Cascades Health and Rehabilitation Center)
• Delray Optical Service Inc
• Delray Oral Surgery, Inc
• Delray Pharmacy
• Delray Physical Therapy PA
• Delray Physician Care Center LLC (Delray Physician Care Center)
• Delray Physician Urgent Care LLC
• Delray Physicians Imaging PLLC

• Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; 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.