Organization Active NPI

Peak Potential Integrative Medical Center NPB, Inc.

Doing business as Peak Potential Integrative Medicine

  • Internal Medicine Physician
  • North Palm Beach, FL
National Provider Identifier
1528539558
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PEAK POTENTIAL INTEGRATIVE MEDICAL CENTER NPB, INC.
Doing business as
Peak Potential Integrative Medicine
Practice address
11951 US Highway 1 Ste 105
North Palm Beach, FL 33408-2804
Phone
(866) 719-2220
Fax
(866) 719-2220
NPI assigned
Dec 17, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. John Deluca, MDNPI 1407050024
Title
Medical Director
Phone
(866) 719-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11951 US Highway 1 Ste 105
North Palm Beach, FL 33408-2804

Mailing address

11951 US Highway 1 Ste 105
North Palm Beach, FL 33408-2804
Phone (866) 719-2220

Other identifiers 1

IdentifierTypeStateIssuer
1417283706OtherSTATE OF FLORIDA

Other names 1

  • Peak Potential Integrative Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

11951 US Highway 1
Ste 105
North Palm Beach, FL 33408
Phone (561) 366-0065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1528539558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "866-719-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "866-719-2220",
            "fax_number": "866-719-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK POTENTIAL INTEGRATIVE MEDICAL CENTER NPB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "866-719-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "1417283706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Potential Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.