NPIMap

Organization Active NPI

Gardens Efl Imaging Center LLC

  • Diagnostic Radiology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1639129349
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GARDENS EFL IMAGING CENTER LLC
Practice address
3335 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4322
Phone
(561) 627-6227
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Wanda Fogarty
Title
VP Imaging Services
Phone
(561) 838-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3335 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4322

Mailing address

3335 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4322
Phone (561) 627-6227

Other identifiers 1

IdentifierTypeStateIssuer
275844000MedicaidFL

Other names 1

  • Gardens Open Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

3335 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 627-6227

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1639129349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 BURNS RD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104322",
            "telephone_number": "561-627-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 BURNS RD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104322",
            "telephone_number": "561-627-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS EFL IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "VP IMAGING SERVICES",
        "authorized_official_telephone_number": "561-838-3630"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275844000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardens Open Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.