Boca Raton Gastroenterology Center P a

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

BOCA RATON GASTROENTEROLOGY CENTER P A

Practice address

1000 NW 9TH CT
Suite 204
Boca Raton, FL 33486-2268

Phone

(561) 395-5204

Fax

(561) 395-6177

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Robert Leon Mellman, M.D.NPI 1457381907

Title

President

Phone

(561) 395-5204

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 1

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

• Robert Leon Mellman, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1457381907

  Gastroenterology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1497878987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 9TH CT",
            "address_2": "SUITE 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862268",
            "telephone_number": "561-395-5204",
            "fax_number": "561-395-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NW 9TH CT",
            "address_2": "SUITE 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862268",
            "telephone_number": "561-395-5204",
            "fax_number": "561-395-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON GASTROENTEROLOGY CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "MELLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-395-5204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.