NPIMap

Organization Active NPI

Kidney Specialist of Palm Beaches

  • Nephrology Physician
  • Royal Palm Beach, FL
National Provider Identifier
1417269143
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME87006 Issued in FL
Legal business name
KIDNEY SPECIALIST OF PALM BEACHES
Practice address
11301 Okechobee Blvd
Suite 5a
Royal Palm Beach, FL 33411
Phone
(561) 283-0384
Fax
(561) 282-3238
NPI assigned
Jul 10, 2010
Organization subpart
Yes
Parent organization
KIDNEY SPECIALIST OF PALM BEACHESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Sunila Pandit, MD
Title
Director
Phone
(561) 283-0384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X ME87006 FL Primary

Addresses

Primary practice location

11301 Okechobee Blvd
Suite 5a
Royal Palm Beach, FL 33411

Mailing address

1100 S Main St
Belle Glade, FL 33430-4910
Phone (561) 283-0384

National Provider Directory

National Provider Directory
Tax ID family
Kidney Specialists of the Palm Beaches LLC4 organizations share this tax ID, including this one
Part of
Kidney Specialists of the Palm Beaches LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1417269143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304910",
            "telephone_number": "561-283-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 OKECHOBEE BLVD",
            "address_2": "SUITE 5A",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-283-0384",
            "fax_number": "561-282-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALIST OF PALM BEACHES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDNEY SPECIALIST OF PALM BEACHES",
        "enumeration_date": "2010-07-10",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "PANDIT",
        "authorized_official_first_name": "SUNILA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-283-0384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.