Organization Active NPI

Jay H Brachfeld MD PA

  • Dermatology Physician
  • Boca Raton, FL
National Provider Identifier
1619300704
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME38562 Issued in FL
Legal business name
JAY H BRACHFELD MD PA
Practice address
20937 Lyons Rd
Boca Raton, FL 33428-1423
Phone
(561) 483-5666
NPI assigned
Aug 13, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Jay Howard Brachfeld, M.D.NPI 1629061775
Title
President
Phone
(561) 483-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME38562 FL Primary

Addresses

Primary practice location

20937 Lyons Rd
Boca Raton, FL 33428-1423

Mailing address

20937 Lyons Rd
Boca Raton, FL 33428-1423
Phone (561) 483-5666

National Provider Directory

National Provider Directory

Locations

20937 Lyons Rd
Boca Raton, FL 33428
Phone (561) 483-5666

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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1619300704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20937 LYONS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281423",
            "telephone_number": "561-483-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20937 LYONS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281423",
            "telephone_number": "561-483-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY H BRACHFELD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "BRACHFELD",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-483-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME38562",
            "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 Aug 27, 2013; 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.