Organization Active NPI

Geoffrey S Tashjian P a

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1235387622
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
83398 Issued in FL
Legal business name
GEOFFREY S TASHJIAN P A
Practice address
17893 Key Vista Way
Boca Raton, FL 33496-1041
Phone
(561) 445-1887
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Dr. Geoffrey Stephen Tashjian, M.D.
Title
President
Phone
(561) 445-1887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 83398 FL Primary

Addresses

Primary practice location

17893 Key Vista Way
Boca Raton, FL 33496-1041

Mailing address

17893 Key Vista Way
Boca Raton, FL 33496-1041
Phone (561) 445-1887

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1235387622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17893 KEY VISTA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961041",
            "telephone_number": "561-445-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17893 KEY VISTA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961041",
            "telephone_number": "561-445-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY S TASHJIAN P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "TASHJIAN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-445-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "83398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.