Idl Medical PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IDL MEDICAL PA

Practice address

8767 Boynton Beach Blvd
Boynton Beach, FL 33472-4479

Phone

(561) 734-5484

Fax

(561) 734-5485

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Diana Gorokhovksy, D.O.

Title

President

Phone

(305) 725-5529

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerlise Alexandre, APRN

  • Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1982376224

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Diana Gorokhovsky, D.O.

  • Family Medicine Physician
  • Boynton Beach, FL
  • NPI 1982728705
  Medicare reassignment Care Compare group NPD
• Amanda Lee McKinzie, APRN

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1952299562
  NPD (past)
• Stephanie L Wechsler, APRN

  • Family Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1598179467
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1487839635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724479",
            "telephone_number": "561-734-5484",
            "fax_number": "561-734-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724479",
            "telephone_number": "561-734-5484",
            "fax_number": "561-734-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDL MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "GOROKHOVKSY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-725-5529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icomfort Medical Rides LLC
• Id Consultants Inc
• Ida M Sebastian MD PA
• Idental of Boynton Beach, PLLC
• Idina Health, Inc.
• David Ijac, MD
• Im Medical, P.a.
• Imaging Center of West Palm Beach LLC
• Imaging Center of West Palm Beach,LLC
• Kazi H Imam, RPH

• Family Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.