Organization Active NPI

Ferguson Life Health Centers of Florida

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1487156634
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.