Organization Active NPI

Scott Berenson, MD, PA

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1629164959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME00041592 Issued in FL
Legal business name
SCOTT BERENSON, MD, PA
Practice address
9970 Central Park Blvd N Ste 404
Boca Raton, FL 33428-2236
Phone
(561) 483-1125
Fax
(561) 483-9267
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Berenson, MD
Title
Physician
Phone
(561) 483-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME00041592 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N Ste 404
Boca Raton, FL 33428-2236

Mailing address

9970 Central Park Blvd N Ste 404
Boca Raton, FL 33428-2236
Phone (561) 483-1125

Other names 1

  • Scott Berenson, MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629164959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-483-1125",
            "fax_number": "561-483-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-483-1125",
            "fax_number": "561-483-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BERENSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERENSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-483-1125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME00041592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Berenson, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2020; 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.