East Delray Medical P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME74637 Issued in FL

Legal business name

EAST DELRAY MEDICAL P A

Practice address

16 Lake Eden Dr
Boynton Beach, FL 33435-8667

Phone

(561) 302-6560

NPI assigned

Jun 7, 2007

Last updated

Sep 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Deitsch

Title

Office Manager

Phone

(561) 302-6560

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Dionne Davidia Oliver, M.D.

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1669486452
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1306049457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAKE EDEN DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358667",
            "telephone_number": "561-302-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAKE EDEN DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358667",
            "telephone_number": "561-302-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DELRAY MEDICAL P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "DEITSCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-302-6560"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "44314",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DW Consulting LLC
• Dynamic Physical Therapy at Home FL LLC (Dynamic Physical Therapy and Sports Rehabilitation)
• Dynamic Rehab Services LLC
• Kandace Eagle, PSYCH ARNP, PMHNP-BC
• East Boynton Dentistry LLC
• Dale Ed Ebling, DC
• Randall Lee Ebling, DC
• Ahmed Ebrahim, MD
• Ecg Consultants of Bethesda LLC
• Maryuri Echevarria del Valle

• Specialist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.