Medvantage Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDVANTAGE PRIMARY CARE

Practice address

8198 S Jog Rd Ste 100
Boynton Beach, FL 33472-2998

Phone

(561) 943-5519

Fax

(561) 423-3948

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael Louis Goldberg, MDNPI 1891140794

Title

President

Phone

(561) 690-8904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Louis Goldberg, M.D.

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1891140794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714867200000",
    "number": "1619736352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22119 MARTELLA AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334661",
            "telephone_number": "561-690-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722998",
            "telephone_number": "561-943-5519",
            "fax_number": "561-423-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVANTAGE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-690-8904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayerling Medina Liriano
• Evan Medina
• Yesenia Medina, D.O.
• Yunaisis Medina, ARNP
• Medlynx LLC
• Mefl, LLC
• Meghan Jacobs, Psy.D., PA
• Sarah Mehan
• Mehonacare LLC
• Lawrence Meiner, PA-C

• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.