Organization Active NPI

Delray Advanced Medical

  • Neurology Physician
  • Delray Beach, FL
National Provider Identifier
1538464839
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DELRAY ADVANCED MEDICAL
Practice address
400 E Linton Blvd
Suite G5
Delray Beach, FL 33483-5082
Phone
(561) 330-6640
Fax
(561) 330-6642
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Ms. Sally Berry
Title
Director
Phone
(561) 330-6640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

400 E Linton Blvd
Suite G5
Delray Beach, FL 33483-5082

Mailing address

400 E Linton Blvd
Suite G5
Delray Beach, FL 33483-5082
Phone (561) 330-6640

National Provider Directory

National Provider Directory
Tax ID family
Delray Advanced Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 E Linton Blvd
Ste G5
Delray Beach, FL 33483
Phone (561) 330-6640

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1538464839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E LINTON BLVD",
            "address_2": "SUITE G5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835082",
            "telephone_number": "561-330-6640",
            "fax_number": "561-330-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E LINTON BLVD",
            "address_2": "SUITE G5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835082",
            "telephone_number": "561-330-6640",
            "fax_number": "561-330-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY ADVANCED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-330-6640",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.