Organization Active NPI

Omnia Summa Inc

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1619188976
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME34112 Issued in FL
Legal business name
OMNIA SUMMA INC
Practice address
1900 Glades Road
Suite 299
Boca Raton, FL 33431
Phone
(561) 750-3201
Fax
(561) 750-5226
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mr. David Elie Abisror, MD
Title
President
Phone
(561) 750-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME34112 FL Primary

Addresses

Primary practice location

1900 Glades Road
Suite 299
Boca Raton, FL 33431

Mailing address

PO Box 970445
Boca Raton, FL 33497
Phone (561) 750-3201

National Provider Directory

National Provider Directory

Locations

1900 Glades Rd
Ste 299
Boca Raton, FL 33431
Phone (561) 750-3201

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1619188976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970445",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33497",
            "telephone_number": "561-750-3201",
            "fax_number": "561-750-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GLADES ROAD",
            "address_2": "SUITE 299",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-750-3201",
            "fax_number": "561-750-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA SUMMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "ABISROR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ELIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-750-3201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME34112",
            "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 Jan 18, 2012; 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.