Organization Active NPI

Javier J. Canasi, M.D.,P.a.

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1407938152
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME54757 Issued in FL
Legal business name
JAVIER J. CANASI, M.D.,P.A.
Practice address
900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547
Phone
(561) 775-0335
Fax
(561) 775-9492
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Javier CanasiNPI 1396774584
Title
President
Phone
(561) 775-0335

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME54757 FL Primary

Addresses

Primary practice location

900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547

Mailing address

900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547
Phone (561) 775-0335

Other identifiers 2

IdentifierTypeStateIssuer
P00155039OtherFLRAIL ROAD, MEDICARE PROV.
10876OtherFLBCBS FL PROV NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061102000447 FL Part B Supplier - Clinic/Group Practice 8628030442 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

900 Village Square Xing
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 775-0335

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFACA

Practitioners & affiliated clinicians

Practitioners 3

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1407938152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 130",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104547",
            "telephone_number": "561-775-0335",
            "fax_number": "561-775-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 130",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104547",
            "telephone_number": "561-775-0335",
            "fax_number": "561-775-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER J. CANASI, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "CANASI",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-775-0335"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME54757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD, MEDICARE PROV.",
            "identifier": "P00155039",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL PROV NO.",
            "identifier": "10876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.