Organization Active NPI

Neuropathy Center of Boca Raton

  • General Practice Physician
  • Boca Raton, FL
National Provider Identifier
1255097408
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEUROPATHY CENTER OF BOCA RATON
Practice address
1200 W Yamato Rd Ste A8
Boca Raton, FL 33431-4429
Phone
(618) 719-1179
NPI assigned
Nov 11, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Dr. Steven R JachinoNPI 1356505168
Title
President
Phone
(217) 839-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1200 W Yamato Rd Ste A8
Boca Raton, FL 33431-4429

Mailing address

2774 Woodfield Dr
Maryville, IL 62062-6476
Phone (618) 719-1179

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL IMS17@YAHOO.COM Direct

National Provider Directory

National Provider Directory

Locations

1200 W Yamato Rd
Ste A8
Boca Raton, FL 33431
Phone (618) 719-1179

Practitioners & affiliated clinicians

Practitioners 3

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1255097408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 WOODFIELD DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626476",
            "telephone_number": "618-719-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W YAMATO RD STE A8",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314429",
            "telephone_number": "618-719-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY CENTER OF BOCA RATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "JACHINO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-839-3040",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "IMS17@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "doc",
            "address_1": "1200 W Yamato Rd Ste A8",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334314429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 11, 2021; 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.