Active NPI
University Internal Medicine of Palm Beach LLC
- Internal Medicine Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UNIVERSITY INTERNAL MEDICINE OF PALM BEACH LLC
- Practice address
- 10151 Enterprise Center Blvd
Suite 202
Boynton Beach, FL 33437-3759 - Phone
- (561) 374-8811
- Fax
- (561) 374-8822
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sonny Van Nguyen, M.D.
- Title
- Manager
- Phone
- (561) 374-8811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10151 Enterprise Center Blvd
Suite 202
Boynton Beach, FL 33437-3759
Mailing address
PO Box 480456
Delray Beach, FL 33448-0456
Phone (561) 374-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10151 Entrprs Cntr Blvd
Ste 202
Boynton Beach, FL 33437
Phone (561) 374-8811
10301 Hagen Ranch Rd
Ste 750
Boynton Beach, FL 33437
Phone (561) 512-4924
10151 Enterprise Ctr
Ste 2
Boynton Beach, FL 33437
Phone (561) 374-8811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1861402505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305072000000",
"number": "1639189392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480456",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334480456",
"telephone_number": "561-374-8811",
"fax_number": "561-374-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 ENTERPRISE CENTER BLVD",
"address_2": "SUITE 202",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373759",
"telephone_number": "561-374-8811",
"fax_number": "561-374-8822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY INTERNAL MEDICINE OF PALM BEACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2011-05-11",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "SONNY",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-374-8811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.