Individual provider Active NPI

Lawrence King-Ray Chen, ARNP, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1356836167
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9348909 Issued in FL
Practice address
601 E Sample Rd Ste 105
Pompano Beach, FL 33064-4443
Phone
(954) 943-1133
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9348909 FL Primary

Addresses

Primary practice location

601 E Sample Rd Ste 105
Pompano Beach, FL 33064-4443

Mailing address

601 E Sample Rd Ste 105
Pompano Beach, FL 33064-4443
Phone (954) 943-1133

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
I20181219002016 FL Practitioner - Nurse Practitioner 5294070280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians
Urology Medical Specialists, PAGroup PAC ID 2466604616, 11 clinicians

Practice addresses (Care Compare)

4515 Wiles Rd
Suite 201
Coconut Creek, FL 33073-3414
Phone (954) 943-1133

601 E Sample Rd
Suite 105
Deerfield Beach, FL 33064-4443
Phone (954) 943-1133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9348909FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Surgical Specialists LLC CurrentSince Mar 15, 2020 Accepting new patients
Urology Medical Specialists, PA CurrentSince Sep 29, 2018 Accepting new patients
Urology Medical Specialists, PA CurrentSince Sep 29, 2018 Accepting new patients

Locations

4515 Wiles Rd
Ste 201
Coconut Creek, FL 33073
Phone (954) 943-1133

601 E Sample Rd
Ste 105
Deerfield Beach, FL 33064
Phone (954) 344-2522

5258 Linton Blvd
Ste 203
Delray Beach, FL 33484
Phone (561) 495-7570

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

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1356836167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 105",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-943-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 105",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-943-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LAWRENCE",
        "middle_name": "KING-RAY",
        "credential": "ARNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9348909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.