NPIMap

Organization Active NPI

Boca Raton Medical Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1578048229
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BOCA RATON MEDICAL CARE LLC
Practice address
500 NE Spanish River Blvd # 32C
Boca Raton, FL 33431-4515
Phone
(954) 993-5757
NPI assigned
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Dr. Bharat Gupta, MDNPI 1114980075
Title
Administrator
Phone
(954) 993-5757

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

500 NE Spanish River Blvd # 32C
Boca Raton, FL 33431-4515

Mailing address

500 NE Spanish River Blvd # 32C
Boca Raton, FL 33431-4515
Phone (954) 993-5757

National Provider Directory

National Provider Directory

Locations

500 NE Spanish River Blvd
Ste 32C
Boca Raton, FL 33431
Phone (954) 993-5757

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": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1578048229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD # 32C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314515",
            "telephone_number": "954-993-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD # 32C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314515",
            "telephone_number": "954-993-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-993-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.