Organization Active NPI

Radiation Oncology Specialists of the Palm Beaches, L.L.C.

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1649284076
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RADIATION ONCOLOGY SPECIALISTS OF THE PALM BEACHES, L.L.C.
Practice address
901 45TH St
Kaplan Cancer Center
West Palm Beach, FL 33407-2413
Phone
(561) 881-2815
Fax
(561) 626-6146
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Sunderam K Shetty, M.D.NPI 1720061674
Title
President
Phone
(561) 714-1397

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

901 45TH St
Kaplan Cancer Center
West Palm Beach, FL 33407-2413

Mailing address

PO Box 31477
Palm Beach Gardens, FL 33420-1477
Phone (561) 626-7223

Other identifiers 2

IdentifierTypeStateIssuer
74641OtherFLBLUE CROSS/BLUE SHIELD
269509000MedicaidFL

National Provider Directory

National Provider Directory

Locations

10141 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 439-1500

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1649284076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31477",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334201477",
            "telephone_number": "561-626-7223",
            "fax_number": "561-626-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "address_2": "KAPLAN CANCER CENTER",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-881-2815",
            "fax_number": "561-626-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY SPECIALISTS OF THE PALM BEACHES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "SUNDERAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-714-1397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "74641",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269509000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.