Organization Active NPI

William S. Nutovits MD PA

  • Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1578832945
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME69099 Issued in FL
Legal business name
WILLIAM S. NUTOVITS MD PA
Practice address
5035 Via Delray Ste 2
Delray Beach, FL 33484-1315
Phone
(561) 330-0111
Fax
(561) 330-7635
NPI assigned
Dec 14, 2011
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
William S Nutovits, MDNPI 1770693442
Title
Owner
Phone
(561) 330-0111

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
Clinic/Center 261Q00000X ME69099 FL Primary

Addresses

Primary practice location

5035 Via Delray Ste 2
Delray Beach, FL 33484-1315

Mailing address

5035 Via Delray Ste 2
Delray Beach, FL 33484-1315
Phone (561) 330-0111

Other identifiers 1

IdentifierTypeStateIssuer
378813000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120106000730 FL Part B Supplier - Clinic/Group Practice 5698941912 Receives reassigned benefits from 1 practitioner
Practice locations: Delray 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
10D1024026William Nutovits MD5035 Via Delray Blvd - Ste 2, Delray Beach, FL 33484Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory

Locations

9655 Boynton Beach Blvd
Ste 2
Boynton Beach, FL 33472
Phone (561) 330-0111

217 NE 8th St
Delray Beach, FL 33444
Phone (561) 276-2800

5035 Via Delray
#2
Delray Beach, FL 33484
Phone (561) 330-0111

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1578832945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 VIA DELRAY STE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841315",
            "telephone_number": "561-330-0111",
            "fax_number": "561-330-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 VIA DELRAY STE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841315",
            "telephone_number": "561-330-0111",
            "fax_number": "561-330-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. NUTOVITS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "NUTOVITS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-330-0111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME69099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378813000",
            "state": "FL"
        }
    ],
    "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 Jun 4, 2021; 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.