NPIMap

Organization Active NPI

Bocacare Inc

  • Internal Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1568016152
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOCACARE INC
Practice address
3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423
Phone
(954) 571-9500
NPI assigned
Jul 31, 2019
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Marcella Gravalese
Title
Coo
Phone
(954) 665-7342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423

Mailing address

3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423
Phone (954) 571-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191022002446 FL DME Supplier - Multi-Specialty - Physician 3870633753 Practice locations: Deerfield Beach, FL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bocacare Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1568016152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 W HILLSBORO BLVD STE 202",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429423",
            "telephone_number": "954-571-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 W HILLSBORO BLVD STE 202",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429423",
            "telephone_number": "954-571-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "GRAVALESE",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-665-7342"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.