Organization Active NPI

Palm Beach Cancer Institute LLC

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
National Provider Identifier
1275702367
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3884-1 Issued in FL
Legal business name
PALM BEACH CANCER INSTITUTE LLC
Practice address
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone
(561) 366-4100
Fax
(561) 366-4189
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Genay Seminara
Title
Contracting / Credentialing MGR
Phone
(561) 366-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3884-1 FL Primary

Addresses

Primary practice location

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Mailing address

1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone (561) 366-4100

Other identifiers 1

IdentifierTypeStateIssuer
V3181OtherFLIDTF - BCBS

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Cancer Institute LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1275702367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-366-4100",
            "fax_number": "561-366-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-366-4100",
            "fax_number": "561-366-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH CANCER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SEMINARA",
        "authorized_official_first_name": "GENAY",
        "authorized_official_title_or_position": "CONTRACTING / CREDENTIALING MGR",
        "authorized_official_telephone_number": "561-366-4104"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "3884-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDTF - BCBS",
            "identifier": "V3181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.