Organization Active NPI

Vijay B Harpalani, MD, PA

  • Primary Care Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1548447352
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0074946 Issued in FL
Legal business name
VIJAY B HARPALANI, MD, PA
Practice address
3400 Burns Rd
Suite # 202
Palm Beach Gardens, FL 33410-4347
Phone
(561) 624-1991
Fax
(561) 626-7661
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Vijay B Harpalani, MDNPI 1124193958
Title
President
Phone
(561) 624-1991

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0074946 FL
Primary Care Clinic/Center 261QP2300X ME0074946 FL Primary

Addresses

Primary practice location

3400 Burns Rd
Suite # 202
Palm Beach Gardens, FL 33410-4347

Mailing address

3400 Burns Rd
Suite # 202
Palm Beach Gardens, FL 33410-4347
Phone (561) 624-1991

Other identifiers 1

IdentifierTypeStateIssuer
252328100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090528000607 FL Part B Supplier - Clinic/Group Practice 4981753639 Receives reassigned benefits from 1 practitioner
Practice locations: Tequesta, FL; Jupiter, FL; Riviera Beach, FL; Palm Bech Gardens, FL; Palm Beach Gardnes, FL; Palm Beach Gardens, FL; Juno Beach, 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
10D0969674Vijay B Harpalani MD PA3400 Burns Road Ste 202, Palm Beach Gardens, FL 33410Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Locations

3400 Burns Rd
Ste 202
Palm Beach Gardens, FL 33410
Phone (561) 622-7661

Practitioners & affiliated clinicians

Practitioners 1

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1548447352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE # 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104347",
            "telephone_number": "561-624-1991",
            "fax_number": "561-626-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE # 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104347",
            "telephone_number": "561-624-1991",
            "fax_number": "561-626-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY B HARPALANI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "HARPALANI",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0074946",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0074946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252328100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.