Organization Active NPI

Boca Prestige, PLLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1508750852
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOCA PRESTIGE, PLLC
Practice address
1001 NW 13TH St Ste 105
Boca Raton, FL 33486-2269
Phone
(561) 409-2813
Fax
(949) 703-8389
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Jessica Eichler, MDNPI 1730509670
Title
Partner
Phone
(561) 917-5387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1001 NW 13TH St Ste 105
Boca Raton, FL 33486-2269

Mailing address

1001 NW 13TH St Ste 105
Boca Raton, FL 33486-2269
Phone (561) 409-2813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014004665 FL Part B Supplier - Clinic/Group Practice 7719474659 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2334865Boca Prestige PLLC1001 NW 13TH St, Suite 105, Boca Raton, FL 33486Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

222 W Yamato Rd
Ste 106283
Boca Raton, FL 33431
Phone (561) 717-8084

1001 NW 13th St
Ste 105
Boca Raton, FL 33486
Phone (561) 917-5387

Practitioners & affiliated clinicians

Practitioners 4

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": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1508750852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-409-2813",
            "fax_number": "949-703-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-409-2813",
            "fax_number": "949-703-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA PRESTIGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "EICHLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-917-5387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2026; 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.