Active NPI
Boca/Delray Renal Associates, Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Boca Raton, FL
National Provider Identifier
1528047909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BOCA/DELRAY RENAL ASSOCIATES, INC
- Practice address
- 1905 Clint Moore Rd
Suite 306
Boca Raton, FL 33496-2658 - Phone
- (561) 988-7100
- Fax
- (561) 988-6120
- NPI assigned
- Jan 12, 2006
- 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
- Frances L Krause
- Title
- Office Manager
- Phone
- (561) 988-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1905 Clint Moore Rd
Suite 306
Boca Raton, FL 33496-2658
Mailing address
1905 Clint Moore Rd
Suite 306
Boca Raton, FL 33496-2658
Phone (561) 988-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212210300 | Medicaid | FL | |
| V7V | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Delray Beach, FL
- NPI 1356320733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1528047909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 CLINT MOORE RD",
"address_2": "SUITE 306",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962658",
"telephone_number": "561-988-7100",
"fax_number": "561-988-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 CLINT MOORE RD",
"address_2": "SUITE 306",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334962658",
"telephone_number": "561-988-7100",
"fax_number": "561-988-6120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOCA/DELRAY RENAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-12",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "KRAUSE",
"authorized_official_first_name": "FRANCES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "561-988-7100"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212210300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V7V",
"state": "FL"
}
],
"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 Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.