Organization Active NPI

Marc B Klein DPM PA

  • Sports Medicine Podiatrist
  • Boca Raton, FL
National Provider Identifier
1629261508
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
PO1505 Issued in FL
Legal business name
MARC B KLEIN DPM PA
Practice address
7050 W Palmetto Park Rd Ste 18
Boca Raton, FL 33433-3462
Phone
(561) 447-7571
Fax
(561) 447-7574
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Jill Klein
Title
Office Manager
Phone
(561) 447-7571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0000X PO1505 FL Primary

Addresses

Primary practice location

7050 W Palmetto Park Rd Ste 18
Boca Raton, FL 33433-3462

Mailing address

7050 W. Palmetto Park Road
#18
Boca Raton, FL 33433
Phone (561) 447-7571

Other identifiers 1

IdentifierTypeStateIssuer
480019906OtherFLRAILROAD MEDICARE ID

National Provider Directory

National Provider Directory

Locations

7040 W Palmetto Park Rd Ste 18
Boca Raton, FL 33433

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1629261508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W. PALMETTO PARK ROAD",
            "address_2": "#18",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-447-7571",
            "fax_number": "561-447-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD STE 18",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333462",
            "telephone_number": "561-447-7571",
            "fax_number": "561-447-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC B KLEIN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-447-7571"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "480019906",
            "state": "FL"
        }
    ],
    "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 Jul 11, 2008; 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.