Individual provider Active NPI

Abraham Mayard

  • Driver
  • Lake Worth, FL
National Provider Identifier
1295556850
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
VH5202 Issued in FL
Practice address
4046 Arthurium Ave
Lake Worth, FL 33462-3430
Phone
(561) 836-8675
NPI assigned
Oct 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X VH5202 FL Primary

Addresses

Primary practice location

4046 Arthurium Ave
Lake Worth, FL 33462-3430

Mailing address

4046 Arthurium Ave
Lake Worth, FL 33462-3430
Phone (561) 836-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VH5202FLMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Array Solutions, LLC CurrentSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1295556850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 ARTHURIUM AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334623430",
            "telephone_number": "561-836-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 ARTHURIUM AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334623430",
            "telephone_number": "561-836-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYARD",
        "first_name": "ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "VH5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.