Organization Active NPI

Nicusor Ieremia MD PA

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1609173061
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0061930 Issued in FL
Legal business name
NICUSOR IEREMIA MD PA
Practice address
7280 W Palmetto Park Rd
S103
Boca Raton, FL 33433-3422
Phone
(561) 395-4300
Fax
(561) 395-7180
NPI assigned
Feb 22, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Nicusor Ieremia, M.D.
Title
President
Phone
(561) 395-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0061930 FL Primary

Addresses

Primary practice location

7280 W Palmetto Park Rd
S103
Boca Raton, FL 33433-3422

Mailing address

7280 W Palmetto Park Rd
S103
Boca Raton, FL 33433-3422
Phone (561) 395-4300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1609173061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD",
            "address_2": "S103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333422",
            "telephone_number": "561-395-4300",
            "fax_number": "561-395-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD",
            "address_2": "S103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333422",
            "telephone_number": "561-395-4300",
            "fax_number": "561-395-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICUSOR IEREMIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "IEREMIA",
        "authorized_official_first_name": "NICUSOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-395-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0061930",
            "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 Feb 22, 2011; 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.