Organization Active NPI

Palm Beach Orthopaedic Institute PA

  • Non-Pharmacy Dispensing Site
  • Jupiter, FL
National Provider Identifier
1669892469
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME112387 Issued in FL
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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)CodeLicenseStatePrimary
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 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
10D2073309Palm Beach Orthopaedic Institute, PA2055 Military TRL Ste 200, Jupiter, FL 33458Certificate of waiverFeb 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.

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

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.

Verify at the official NPI Registry.