NPIMap

Organization Active NPI

St Lucie Medical Associates Inc

  • Primary Care Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1265681019
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ST LUCIE MEDICAL ASSOCIATES INC
Practice address
1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone
(772) 335-3184
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Binno Dhar, M.D.NPI 1356369227
Title
President
Phone
(772) 335-3184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone (772) 335-3184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000572 FL Part B Supplier - Clinic/Group Practice 5890863401 Receives reassigned benefits from 3 practitioners
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory
Tax ID family
Remo Raina2 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

1930 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3184

1930 SE Port St Lucie Blvd
Ofc
Port St Lucie, FL 34952

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1265681019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-335-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-335-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUCIE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "DHAR",
        "authorized_official_first_name": "BINNO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-335-3184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.