NPIMap

Organization Active NPI

Bocacare Inc

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1225845787
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOCACARE INC
Practice address
2623 S Seacrest Blvd Ste 114
Boynton Beach, FL 33435-7531
Phone
(561) 955-4600
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Marcella Gravalese
Title
Ao
Phone
(619) 555-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2623 S Seacrest Blvd Ste 114
Boynton Beach, FL 33435-7531

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250409000068 FL DME Supplier - Multi-Specialty - Physician 3870633753 Practice locations: Boynton Beach, FL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2285591Bocacare, Inc2623 S Seacrest Blvd Suite 114, Boynton Beach, FL 33435Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bocacare Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1001 NW 13th St
Ste 104A
Boca Raton, FL 33486
Phone (561) 864-7853

1599 NW 9th Ave
Ste 203
Boca Raton, FL 33486
Phone (561) 338-8884

670 Glades Rd
Ste 300
Boca Raton, FL 33431
Phone (561) 395-2626

670 Glades Rd
Ste 310
Boca Raton, FL 33431
Phone (561) 367-8202

7301 W Palmetto Park Rd
Ste 100B
Boca Raton, FL 33433
Phone (561) 955-6240

745 Meadows Rd
Ste 101
Boca Raton, FL 33486
Phone (561) 955-6784

745 Meadows Rd
Ste 202
Boca Raton, FL 33486
Phone (561) 395-2626

801 Meadows Rd
Ste 104
Boca Raton, FL 33486
Phone (561) 955-5300

10301 Hagen Ranch Rd
Ste B1
Boynton Beach, FL 33437
Phone (561) 226-6640

2800 S Seacrest Blvd
Ste 110
Boynton Beach, FL 33435
Phone (561) 266-6610

8200 S Jog Rd
Ste 102
Boynton Beach, FL 33472
Phone (561) 299-1099

3313 W Hillsboro Blvd
Ste 202
Deerfield Beach, FL 33442
Phone (561) 955-4600

2465 S State Road 7
Ste 800
Wellington, FL 33414
Phone (561) 784-4930

Practitioners & affiliated clinicians

Practitioners 210

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.

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1225845787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD STE 114",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357531",
            "telephone_number": "561-955-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GRAVALESE",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "619-555-1555"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.