Active NPI
Alan Gumer M.D. P.a.
- Psychiatric Hospital
- Ft Lauderdale, FL
National Provider Identifier
1285934166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- ME0022101
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053817500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.