Active NPI
Peak Potential Integrative Medical Center NPB, Inc.
Doing business as Peak Potential Integrative Medicine
- Internal Medicine Physician
- North Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2019
- 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
- Dr. John Deluca, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417283706 | Other | STATE OF FLORIDA |
Other names 1
- Peak Potential Integrative Medicine
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- North Palm Beach, FL
- NPI 1407050024
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.