NPIMap

Organization Active NPI

Boca Raton Regional Hospital

  • Hematology & Oncology Physician
  • Boca Raton, FL
National Provider Identifier
1477709244
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME54973 Issued in FL
Legal business name
BOCA RATON REGIONAL HOSPITAL
Doing business as
BRRH Women's Institute for Health and Wellness, Inc.
Practice address
690 Meadows Road
Boca Raton, FL 33486-2344
Phone
(561) 955-3772
Fax
(561) 955-4444
NPI assigned
Aug 13, 2008
Organization subpart
Yes
Parent organization
BOCA RATON REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Jerry J Fedele
Title
Ceo
Phone
(561) 955-5484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X ME54973 FL Primary

Addresses

Primary practice location

690 Meadows Road
Boca Raton, FL 33486-2344

Mailing address

P.O. Box 105046
Mail Code 5598
Atlanta, GA 30348-5046
Phone (561) 955-4797

Other names 1

  • BRRH Women's Institute for Health and Wellness, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BRCH Pathology9 organizations share this tax ID, including this one
Part of
BRCH Pathology

Other organizations with this tax ID 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

Practitioners & affiliated clinicians

Practitioners 9

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": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1477709244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 105046",
            "address_2": "MAIL CODE 5598",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303485046",
            "telephone_number": "561-955-4797",
            "fax_number": "561-955-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MEADOWS ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862344",
            "telephone_number": "561-955-3772",
            "fax_number": "561-955-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOCA RATON REGIONAL HOSPITAL",
        "enumeration_date": "2008-08-13",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "FEDELE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-955-5484"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME54973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRRH Women's Institute for Health and Wellness, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.