New Wave Diagnsotics

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

NEW WAVE DIAGNSOTICS

Practice address

20283 State Road 7
Suite 300
Boca Raton, FL 33498-6901

Phone

(561) 962-2206

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David Mantor

Title

Ceo

Phone

(561) 962-2206

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1326342353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20283 STATE ROAD 7",
            "address_2": "SUITE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20283 STATE ROAD 7",
            "address_2": "SUITE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986901",
            "telephone_number": "561-962-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE DIAGNSOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "MANTOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-962-2206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Healing Center
• New Life Phcy
• New Light Medical LLC
• New Patterns Counseling
• New Sunrise Mental Health LLC
• New York Diagnostic Services PC
• New York Medical Services PC
• New York Senior Dermatology PLLC
• Marni Newberg, MA, CCC-SLP
• Nicole R Newell-Wenzel, MS CCC-SLP

• Pain Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.