Individual provider Active NPI

Boris Ripa, M.D.

  • Pediatrics Physician
  • Hallandale Beach, FL
National Provider Identifier
1457458176
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
207307 Issued in NY
Practice address
1250 E Hallandale Blvd
500
Hallandale Beach, FL 33009-6305
Phone
(305) 424-0903
Fax
(718) 891-1101
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207307 NY
Pediatrics Physician 208000000X 207307 NY Primary

Addresses

Primary practice location

1250 E Hallandale Blvd
500
Hallandale Beach, FL 33009-6305

Mailing address

230 174TH St Apt 2014
Sunny Isles Beach, FL 33160-5769
Phone (305) 424-0903

Other practice location 1

8708 Justice Ave Apt 2E
Elmhurst, NY 11373-4576
Phone (305) 423-0903

Other identifiers 2

IdentifierTypeStateIssuer
8459209MedicaidNJ
01755811MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
To Be Healthy LLC Family Medicine Current Accepting new patients

Locations

1250 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 257-6414

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1457458176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 174TH ST APT 2014",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331605769",
            "telephone_number": "305-424-0903",
            "fax_number": "718-891-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BLVD",
            "address_2": "500",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096305",
            "telephone_number": "305-424-0903",
            "fax_number": "718-891-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8708 Justice Ave Apt 2E",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734576",
            "country_code": "US",
            "telephone_number": "305-423-0903",
            "fax_number": "718-891-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPA",
        "first_name": "BORIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "207307",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "207307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8459209",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.