Active NPI
Ferguson Life Health Centers of Florida
- Family Medicine Physician
- Delray Beach, FL
National Provider Identifier
1487156634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FERGUSON LIFE HEALTH CENTERS OF FLORIDA
- Practice address
- 932 Allamanda Dr
Delray Beach, FL 33483-4914 - Phone
- (973) 210-3838
- NPI assigned
- Mar 5, 2018
- Last updated
- Jun 27, 2023
- 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
- Samantha Ortiz
- Title
- Office Manager
- Phone
- (201) 716-9199
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
932 Allamanda Dr
Delray Beach, FL 33483-4914
Mailing address
PO Box 269
Cedar Knolls, NJ 07927-0269
Phone (973) 210-3838
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1487156634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 269",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079270269",
"telephone_number": "973-210-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 ALLAMANDA DR",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334834914",
"telephone_number": "973-210-3838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERGUSON LIFE HEALTH CENTERS OF FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-05",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "201-716-9199"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.