Organization Active NPI

Wilkens Mondesir MD, PA

  • Obstetrics Physician
  • Boynton Beach, FL
National Provider Identifier
1467127993
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
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

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Wilkens Mondesir, MDNPI 1518249317
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X
Maternal & Fetal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VM0101X
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
010956201MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Wilkens Mondesir MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.