Organization Active NPI

Medical Partners in Recovery, P.a.

  • Adult Health Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1366804130
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9217834 Issued in FL
Legal business name
MEDICAL PARTNERS IN RECOVERY, P.A.
Practice address
5301 North Federal Highway
Suite 380 Box 418
Boca Raton, FL 33487
Phone
(561) 400-9139
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Laurie Kupersmith, ARNPNPI 1023355278
Title
President
Phone
(561) 400-9139

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
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 9217834 FL Primary

Addresses

Primary practice location

5301 North Federal Highway
Suite 380 Box 418
Boca Raton, FL 33487

Mailing address

5301 North Federal Highway
Suite 380 Box 418
Boca Raton, FL 33487
Phone (561) 400-9139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920000470 FL Part B Supplier - Clinic/Group Practice 1355671132 Receives reassigned benefits from 1 practitioner
Practice locations: Sunrise, 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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1366804130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 380 BOX 418",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-400-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 380 BOX 418",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-400-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARTNERS IN RECOVERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KUPERSMITH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-400-9139",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9217834",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 22, 2016; 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.