NPIMap

Organization Active NPI

Rachael Gittens MD LLC

  • Family Medicine Physician
  • Wilton Manors, FL
National Provider Identifier
1679702278
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86836 Issued in FL
Legal business name
RACHAEL GITTENS MD LLC
Doing business as
Oakland PLaza Medical Center
Practice address
1100 W Oakland Park Blvd
Unit 3
Wilton Manors, FL 33311-1612
Phone
(954) 563-8600
Fax
(954) 565-5005
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Rachael Gittens, M.D.
Title
Physician
Phone
(954) 563-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME86836 FL Primary

Addresses

Primary practice location

1100 W Oakland Park Blvd
Unit 3
Wilton Manors, FL 33311-1612

Mailing address

1100 W Oakland Park Blvd
Unit 3
Wilton Manors, FL 33311-1612
Phone (954) 563-8600

Other names 1

  • Oakland PLaza Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1679702278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W OAKLAND PARK BLVD",
            "address_2": "UNIT 3",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111612",
            "telephone_number": "954-563-8600",
            "fax_number": "954-565-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W OAKLAND PARK BLVD",
            "address_2": "UNIT 3",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111612",
            "telephone_number": "954-563-8600",
            "fax_number": "954-565-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHAEL GITTENS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "GITTENS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-563-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland PLaza Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.