Organization Active NPI

Michael M Tuchman MD PA

  • Neurology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1417034299
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MICHAEL M TUCHMAN MD PA
Practice address
3355 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410
Phone
(561) 694-1010
Fax
(561) 694-6921
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Michael M Tuchman, MDNPI 1396822144
Title
President
Phone
(561) 694-1010

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X FL Primary

Addresses

Primary practice location

3355 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410

Mailing address

3355 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410
Phone (561) 694-1010

Other names 1

  • Palm Beach Neurological Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070307000273 FL Part B Supplier - Clinic/Group Practice 4688777915 Receives reassigned benefits from 4 practitioners
Practice locations: Palm Beach Gardens, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1007995Palm Beach Neurological Center3355 Burns Rd Ste 201, Palm Beach Gardens, FL 33410Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Locations

3355 Burns Rd
Ste 201
Palm Beach Gardens, FL 33410
Phone (561) 296-5225

Practitioners & affiliated clinicians

Practitioners 7

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1417034299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-694-1010",
            "fax_number": "561-694-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD",
            "address_2": "SUITE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-694-1010",
            "fax_number": "561-694-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M TUCHMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "TUCHMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-694-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Neurological Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Beach Neurological Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.