NPIMap

Organization Active NPI

Boynton Beach Efl Imaging Center LLC

Doing business as Boynton Beach Open Imaging Center

  • Diagnostic Radiology Physician
  • Boynton Beach, FL
National Provider Identifier
1700849221
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BOYNTON BEACH EFL IMAGING CENTER LLC
Doing business as
Boynton Beach Open Imaging Center
Practice address
2300 S Congress Ave
Suite105
Boynton Beach, FL 33426-7400
Phone
(561) 733-5001
Fax
(561) 733-0208
NPI assigned
Apr 7, 2006
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Wanda Fogarty
Title
VP Imaging Services
Phone
(561) 838-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2300 S Congress Ave
Suite105
Boynton Beach, FL 33426-7400

Mailing address

2300 S Congress Ave
Suite105
Boynton Beach, FL 33426-7400
Phone (561) 733-5001

Other identifiers 1

IdentifierTypeStateIssuer
272376000MedicaidFL

Other names 1

  • Boynton Beach Open Imaging Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1700849221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S CONGRESS AVE",
            "address_2": "SUITE105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267400",
            "telephone_number": "561-733-5001",
            "fax_number": "561-733-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S CONGRESS AVE",
            "address_2": "SUITE105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267400",
            "telephone_number": "561-733-5001",
            "fax_number": "561-733-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON BEACH EFL IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "VP IMAGING SERVICES",
        "authorized_official_telephone_number": "561-838-3630"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272376000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boynton Beach Open Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.