Individual provider Active NPI

Allen Maryasis, FNP-C

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1699539007
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030948 Issued in FL
Practice address
413 E Palmetto Park Rd Apt 740
Boca Raton, FL 33432-5190
Phone
(917) 968-3162
NPI assigned
Feb 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11030948 FL Primary
Family Medicine Physician 207Q00000X 11030948 FL

Addresses

Primary practice location

413 E Palmetto Park Rd Apt 740
Boca Raton, FL 33432-5190

Mailing address

413 E Palmetto Park Rd Apt 740
Boca Raton, FL 33432-5190
Phone (917) 968-3162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003649 FL Practitioner - Nurse Practitioner 5991145336 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr GS Urgent Care LLCGroup PAC ID 5395904429, 21 clinicians
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone (561) 330-9363

601 Linton Blvd
Delray Beach, FL 33444-8149
Phone (561) 276-2270

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11030948FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Mar 31, 2025 Accepting new patients
Arc Wound Care LLC Family CurrentSince Nov 15, 2025 Accepting new patients
Dr GS Urgent Care LLC CurrentSince Aug 20, 2024 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 31, 2025 Accepting new patients
Infinite Medical PC Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

601 Linton Blvd
Delray Beach, FL 33444
Phone (561) 276-2270

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427

808 Colley Rd
Starke, FL 32091
Phone (904) 454-1198

200 Nassau St N
Venice, FL 34285
Phone (305) 397-8417

250 Skillman St
Ste 202
Brooklyn, NY 11205

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1699539007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E PALMETTO PARK RD APT 740",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325190",
            "telephone_number": "917-968-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E PALMETTO PARK RD APT 740",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325190",
            "telephone_number": "917-968-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYASIS",
        "first_name": "ALLEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030948",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11030948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.