Organization Active NPI

Alan Gumer M.D. P.a.

  • Psychiatric Hospital
  • Ft Lauderdale, FL
National Provider Identifier
1285934166
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
ME0022101 Issued in FL
Legal business name
ALAN GUMER M.D. P.A.
Practice address
1001 W Commercial Blvd
Ft Lauderdale, FL 33309-3148
Phone
(954) 522-3360
Fax
(305) 675-0492
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Alan A Gumer, M.D.
Title
Psychiatrist/Owner
Phone
(954) 522-3360

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X ME0022101 FL
Psychiatric Hospital 283Q00000X ME0022101 FL Primary

Addresses

Primary practice location

1001 W Commercial Blvd
Ft Lauderdale, FL 33309-3148

Mailing address

PO Box 450729
Sunrise, FL 33345-0729
Phone (954) 522-3360

Other identifiers 1

IdentifierTypeStateIssuer
053817500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1285934166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450729",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333450729",
            "telephone_number": "954-522-3360",
            "fax_number": "305-675-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093148",
            "telephone_number": "954-522-3360",
            "fax_number": "305-675-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN GUMER M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "GUMER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "954-522-3360",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "FL",
            "license": "ME0022101",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "ME0022101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053817500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.