Organization Active NPI

Family Medical Care of Palm Beach, PLLC

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1659655371
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL CARE OF PALM BEACH, PLLC
Practice address
10625 N Military TRL
Suite 102
Palm Beach Gardens, FL 33410-6564
Phone
(561) 249-7626
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Nader Daryaee, MD
Title
Physician / Owner
Phone
(561) 249-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10625 N Military TRL
Suite 102
Palm Beach Gardens, FL 33410-6564

Mailing address

10625 N Military TRL
Suite 102
Palm Beach Gardens, FL 33410-6564
Phone (561) 249-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000204 FL Part B Supplier - Clinic/Group Practice 8123291044 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2035445Family Medical Care of Palm Beach10625 N Military Trail Ste 102, Palm Beach Gardens, FL 33410Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

10625 N Military Trl
Ste 102
West Palm Beach, FL 33410
Phone (561) 249-7626

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHHBA

Practitioners & affiliated clinicians

Practitioners 2

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1659655371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106564",
            "telephone_number": "561-249-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL",
            "address_2": "SUITE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106564",
            "telephone_number": "561-249-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF PALM BEACH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "DARYAEE",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "561-249-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.