Individual provider Active NPI

Urmilla Devi Dookhan, PA

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1275301616
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002469 Issued in NY
Practice address
10270 Courtside LN Apt a
Boca Raton, FL 33428-1361
Phone
(917) 647-6515
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002469 NY Primary

Addresses

Primary practice location

10270 Courtside LN Apt a
Boca Raton, FL 33428-1361

Mailing address

10270 Courtside LN Apt a
Boca Raton, FL 33428-1361
Phone (917) 647-6515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1275301616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10270 COURTSIDE LN APT A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281361",
            "telephone_number": "917-647-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10270 COURTSIDE LN APT A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281361",
            "telephone_number": "917-647-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOKHAN",
        "first_name": "URMILLA",
        "middle_name": "DEVI",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002469",
            "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 14, 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.