Active NPI
Michael Jay Henick, M.D.
- Ophthalmology Physician
- Boca Raton, FL
National Provider Identifier
1619248804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME 44713
- Practice address
- 22378 Boyaca Ave.
Boca Raton, FL 33433-4625 - Phone
- (561) 487-6780
- NPI assigned
- Jan 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME 44713 | FL | Primary |
Addresses
Primary practice location
22378 Boyaca Ave.
Boca Raton, FL 33433-4625
Mailing address
22378 Boyaca Ave.
Boca Raton, FL 33433-4625
Phone (561) 487-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 44713 | FL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1619248804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22378 BOYACA AVE.",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334334625",
"telephone_number": "561-487-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22378 BOYACA AVE.",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334334625",
"telephone_number": "561-487-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENICK",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME 44713",
"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 19, 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.