Institute for Healthy Aging Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0070312 Issued in FL

Legal business name

INSTITUTE FOR HEALTHY AGING INC

Practice address

2512 N Federal Hwy
Suite 105
Delray Beach, FL 33483-6147

Phone

(561) 272-1956

Fax

(561) 272-1992

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Rosenberg, MDNPI 1720057573

Title

President

Phone

(561) 272-1956

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark Rosenberg, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1720057573
  NPD (past) Authorized official
• Ira Martin Fine, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1235166851
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1710151444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1759",
            "address_2": "DEPT. 952",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511759",
            "telephone_number": "713-554-5304",
            "fax_number": "713-554-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 N FEDERAL HWY",
            "address_2": "SUITE 105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836147",
            "telephone_number": "561-272-1956",
            "fax_number": "561-272-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR HEALTHY AGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-272-1956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0070312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intercoastal Counseling Services, Inc.

• Internal Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.