Individual provider Active NPI

Tatyana Gelman, PA-C

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1356589964
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9104728 Issued in FL
Practice address
10636 Lake Jasmine Dr
Boca Raton, FL 33498-1503
Phone
(561) 573-9490
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9104728 FL Primary

Addresses

Primary practice location

10636 Lake Jasmine Dr
Boca Raton, FL 33498-1503

Mailing address

10636 Lake Jasmine Dr
Boca Raton, FL 33498-1503
Phone (561) 573-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130311000463 FL Practitioner - Physician Assistant 1951556356 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Em-I Medical Services, PA CurrentSince Jan 1, 2025 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Mar 16, 2013 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jan 28, 2013 Accepting new patients
Florida Em-I Medical Services, PA CurrentSince Jan 1, 2025 Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 6

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1356589964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10636 LAKE JASMINE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981503",
            "telephone_number": "561-573-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10636 LAKE JASMINE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981503",
            "telephone_number": "561-573-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELMAN",
        "first_name": "TATYANA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.