Organization Active NPI

Ira Martin Fine MD PA

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1407980105
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0048473 Issued in FL
Legal business name
IRA MARTIN FINE MD PA
Practice address
5329 Atlantic Ave Ste 204
Delray Beach, FL 33484-8142
Phone
(561) 375-8800
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Ira Martin Fine, MDNPI 1235166851
Title
Owner
Phone
(561) 375-8800

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 ME0048473 FL Primary

Addresses

Primary practice location

5329 Atlantic Ave Ste 204
Delray Beach, FL 33484-8142

Mailing address

5329 Atlantic Ave Ste 204
Delray Beach, FL 33484-8142
Phone (561) 375-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000798 FL Part B Supplier - Clinic/Group Practice 5395631881 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

10075 S Jog Rd
Ste 202
Boynton Beach, FL 33437
Phone (561) 375-8800

10075 S Jog Rd
Ste 203
Boynton Beach, FL 33437
Phone (561) 530-8744

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1407980105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 ATLANTIC AVE STE 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848142",
            "telephone_number": "561-375-8800",
            "fax_number": "561-336-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 ATLANTIC AVE STE 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848142",
            "telephone_number": "561-375-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA MARTIN FINE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-375-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.