Active NPI
Palm Beach Orthopaedic Institute PA
- Non-Pharmacy Dispensing Site
- Jupiter, FL
National Provider Identifier
1669892469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- ME112387
- Legal business name
- PALM BEACH ORTHOPAEDIC INSTITUTE PA
- Practice address
- 2055 Military Trail Suite 200
Jupiter, FL 33458 - Phone
- (561) 694-7776
- NPI assigned
- Apr 18, 2014
- Organization subpart
- Yes
- Parent organization
- PALM BEACH ORTHOPAEDIC INSTITUTE PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priya Chandradat
- Title
- Ceo
- Phone
- (561) 694-7776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | ME112387 | FL | Primary |
Addresses
Primary practice location
2055 Military Trail Suite 200
Jupiter, FL 33458
Mailing address
4215 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4625
Phone (561) 727-1122
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2073309 | Palm Beach Orthopaedic Institute, PA | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider Directory- Part of
- Palm Beach Orthopaedic Institute PA
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Orthopaedic Surgery Physician
- Palm Beach Gardens, FL
- NPI 1184796245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661472000000",
"number": "1669892469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 BURNS RD STE 200",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104625",
"telephone_number": "561-727-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 MILITARY TRAIL SUITE 200",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-694-7776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH ORTHOPAEDIC INSTITUTE PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALM BEACH ORTHOPAEDIC INSTITUTE PA",
"enumeration_date": "2014-04-18",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A",
"authorized_official_last_name": "CHANDRADAT",
"authorized_official_first_name": "PRIYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-694-7776"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "FL",
"license": "ME112387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
- Palm Beach Infectious Disease Institute
- Palm Beach Institute of Plastic and Reconstructive Surgery
- Palm Beach Integrative Rheumatology Inc (Palm Beach Rheumatology & Wellness)
- Palm Beach Joint Replacement PLLC
- Palm Beach Nephrology Care PLLC
- Palm Beach Pathology, PA (Jupiter Pathology Associates)
- Palm Beach Plastic Surgery PA
- Palm Beach Vascular & Vein Associates LLC
- Palm Beach Vascular and Wound Care PA
- Palm Pain Management, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.