Organization Active NPI

Petra U Neues MD PA

  • Internal Medicine Physician
  • Riviera Beach, FL
National Provider Identifier
1295470011
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PETRA U NEUES MD PA
Practice address
5420 N Ocean Dr Apt 2202
Riviera Beach, FL 33404-2541
Phone
(561) 252-7443
Fax
(561) 429-5372
NPI assigned
May 5, 2022
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Petra U Neues, MDNPI 1568411676
Title
Owner
Phone
(561) 252-7443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5420 N Ocean Dr Apt 2202
Riviera Beach, FL 33404-2541

Mailing address

5420 N Ocean Dr Apt 2202
Riviera Beach, FL 33404-2541
Phone (561) 252-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220602000051 FL Part B Supplier - Clinic/Group Practice 9032597158 Receives reassigned benefits from 1 practitioner
Practice locations: Riviera Beach, FL

National Provider Directory

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": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1295470011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 N OCEAN DR APT 2202",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042541",
            "telephone_number": "561-252-7443",
            "fax_number": "561-429-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 N OCEAN DR APT 2202",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042541",
            "telephone_number": "561-252-7443",
            "fax_number": "561-429-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRA U NEUES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "NEUES",
        "authorized_official_first_name": "PETRA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-252-7443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.