Organization Active NPI

Vijay Narayan Samant MD PA

  • Infectious Disease Physician
  • Boca Raton, FL
National Provider Identifier
1336305804
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0043269 Issued in FL
Legal business name
VIJAY NARAYAN SAMANT MD PA
Practice address
800 SW 15TH Street
Boca Raton, FL 33486-1340
Phone
(561) 395-0737
Fax
(561) 395-0766
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Vijay Narayan Samant, MDNPI 1093874190
Title
President
Phone
(561) 395-0737

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
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X ME0043269 FL Primary

Addresses

Primary practice location

800 SW 15TH Street
Boca Raton, FL 33486-1340

Mailing address

PO Box 273444
Boca Raton, FL 33427-3444
Phone (561) 395-0737

Other identifiers 2

IdentifierTypeStateIssuer
06882910MedicaidFL
DO3251OtherGAR/R MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000682 FL Part B Supplier - Clinic/Group Practice 3072681592 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, 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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1336305804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273444",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334273444",
            "telephone_number": "561-395-0737",
            "fax_number": "561-395-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 15TH STREET",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861340",
            "telephone_number": "561-395-0737",
            "fax_number": "561-395-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY NARAYAN SAMANT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "SAMANT",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "NARAYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-395-0737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0043269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06882910",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "DO3251",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.