Active NPI
Wilkens Mondesir MD, PA
- Obstetrics Physician
- Boynton Beach, FL
National Provider Identifier
1467127993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Legal business name
- WILKENS MONDESIR MD, PA
- Practice address
- 3717 W Boynton Beach Blvd Ste 5
Boynton Beach, FL 33436-4540 - Phone
- (561) 734-1212
- Fax
- (561) 734-1443
- NPI assigned
- Aug 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilkens Mondesir, MD
- Title
- Owner
- Phone
- (561) 784-7014
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Gynecology Physician | 207VG0400X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Obstetrics Physician | 207VX0000X | Primary |
Addresses
Primary practice location
3717 W Boynton Beach Blvd Ste 5
Boynton Beach, FL 33436-4540
Mailing address
4849 Lake Worth Rd Ste 201
Greenacres, FL 33463-3462
Phone (561) 784-7014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010956201 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Wilkens Mondesir MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics Physician
- Greenacres, FL
- NPI 1811241003
Practitioners & affiliated clinicians
Practitioners 1
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": "1629072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629072000000",
"number": "1467127993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 LAKE WORTH RD STE 201",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633462",
"telephone_number": "561-784-7014",
"fax_number": "561-784-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 W BOYNTON BEACH BLVD STE 5",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364540",
"telephone_number": "561-734-1212",
"fax_number": "561-734-1443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKENS MONDESIR MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A",
"authorized_official_last_name": "MONDESIR",
"authorized_official_first_name": "WILKENS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-784-7014",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010956201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.