Individual provider Active NPI

Isaac Goren, A.P.

  • Acupuncturist
  • Hallandale Beach, FL
National Provider Identifier
1689882540
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP927 Issued in FL
Practice address
1130 E Hallandale Beach Blvd
Suite B
Hallandale Beach, FL 33009-4416
Phone
(954) 454-5559
NPI assigned
May 21, 2007
Last updated
May 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP927 FL Primary

Addresses

Primary practice location

1130 E Hallandale Beach Blvd
Suite B
Hallandale Beach, FL 33009-4416

Mailing address

1130 E Hallandale Beach Blvd
Suite B
Hallandale Beach, FL 33009-4416
Phone (954) 454-5559

Other identifiers 2

IdentifierTypeStateIssuer
C0320OtherFLBCBS PROVIDER NUMBER
200687548OtherFLTAX IDENIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP927FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tao House Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1689882540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094416",
            "telephone_number": "954-454-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094416",
            "telephone_number": "954-454-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREN",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "C0320",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENIFICATION NUMBER",
            "identifier": "200687548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.