Organization Active NPI

Gardens Ekg Associates

  • Cardiovascular Disease Physician
  • West Palm Beach, FL
National Provider Identifier
1285768416
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GARDENS EKG ASSOCIATES
Practice address
4700 N Congress Ave
Suite 202
West Palm Beach, FL 33407-3282
Phone
(561) 747-5735
Fax
(561) 743-3359
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Elaine C Hines
Title
Administrator
Phone
(561) 747-5735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X FL Primary

Addresses

Primary practice location

4700 N Congress Ave
Suite 202
West Palm Beach, FL 33407-3282

Mailing address

PO Box 8063
Jupiter, FL 33468-8063
Phone (561) 747-5735

Other identifiers 3

IdentifierTypeStateIssuer
82197YOtherFLDR RAVITSKY BCBS PR #
82670XOtherFLDR HANNEY BCBS PR #
0527271-00MedicaidFL

National Provider Directory

National Provider Directory

Locations

2051 45th St
West Palm Beach, FL 33407
Phone (561) 209-2573

Practitioners & affiliated clinicians

Practitioners 2

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1285768416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8063",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334688063",
            "telephone_number": "561-747-5735",
            "fax_number": "561-743-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE",
            "address_2": "SUITE 202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073282",
            "telephone_number": "561-747-5735",
            "fax_number": "561-743-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS EKG ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-747-5735"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR RAVITSKY BCBS PR #",
            "identifier": "82197Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HANNEY BCBS PR #",
            "identifier": "82670X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0527271-00",
            "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 May 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.