Active NPI
New Century Medical Centers Corp.
- Clinic/Center
- Greenacres, FL
National Provider Identifier
1588354989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NEW CENTURY MEDICAL CENTERS CORP.
- Practice address
- 5887 Lake Worth Rd
Greenacres, FL 33463-3209 - Phone
- (561) 469-6502
- Fax
- (561) 612-7007
- NPI assigned
- May 9, 2023
- Last updated
- Aug 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hector Marchena
- Title
- Ceo
- Phone
- (561) 469-6502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
5887 Lake Worth Rd
Greenacres, FL 33463-3209
Mailing address
5887 Lake Worth Rd
Greenacres, FL 33463-3209
Phone (561) 469-6502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2301545 | New Century Medical Centers Corp | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
5887 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 469-6502
Networks
- HealthSun Health Plans Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDDCDD
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Greenacres, FL
- NPI 1952932865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1588354989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5887 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633209",
"telephone_number": "561-469-6502",
"fax_number": "561-612-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5887 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633209",
"telephone_number": "561-469-6502",
"fax_number": "561-612-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CENTURY MEDICAL CENTERS CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-09",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "MARCHENA",
"authorized_official_first_name": "HECTOR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-469-6502",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.