Active NPI
New Found Life of Delray Beach
- Clinical Medical Laboratory
- Delray Beach, FL
National Provider Identifier
1659794766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 800027026
- Legal business name
- NEW FOUND LIFE OF DELRAY BEACH
- Practice address
- 223 NE 5TH Ave
Suite 103-104
Delray Beach, FL 33483-5530 - Phone
- (561) 270-2361
- Fax
- (561) 270-2081
- NPI assigned
- Jan 24, 2014
- Last updated
- Jan 24, 2014
- 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
- Angela Iacullo
- Title
- Birector of Billing
- Phone
- (561) 270-2361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 800027026 | FL | Primary |
Addresses
Primary practice location
223 NE 5TH Ave
Suite 103-104
Delray Beach, FL 33483-5530
Mailing address
210 NE 6TH Ave
103-104
Delray Beach, FL 33483-5540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800027026 | Other | FL | AGENCY FOR HEALTH CARE ADMINISTRATION |
| 10D2035690 | Other | FL | CLIA |
National Provider Directory
National Provider Directory- Tax ID family
- New Found Life of Delray Beach
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Delray Beach, FL
- NPI 1356613616
-
- Substance Abuse Rehabilitation Facility
- Delray Beach, FL
- NPI 1366789828
-
- Mental Illness Community Based Residential Treatment Facility
- Delray Beach, FL
- NPI 1225304850
Locations
210 NE 6th Ave
#103104
Delray Beach, FL 33483
223 NE 5th Ave
Ste 103104
Delray Beach, FL 33483
Phone (561) 270-2361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390521600000",
"number": "1659794766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NE 6TH AVE",
"address_2": "103-104",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NE 5TH AVE",
"address_2": "SUITE 103-104",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835530",
"telephone_number": "561-270-2361",
"fax_number": "561-270-2081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW FOUND LIFE OF DELRAY BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A",
"authorized_official_last_name": "IACULLO",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "BIRECTOR OF BILLING",
"authorized_official_telephone_number": "561-270-2361"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800027026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
"identifier": "800027026",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "10D2035690",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.