Organization Active NPI

Matthew D Kay, M.D., P.a.

  • Ophthalmology Physician
  • Boca Raton, FL
National Provider Identifier
1720380405
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME63126 Issued in FL
Legal business name
MATTHEW D KAY, M.D., P.A.
Practice address
9980 Central Park Blvd N
Suite 126
Boca Raton, FL 33428-1762
Phone
(561) 487-6600
Fax
(561) 487-6633
NPI assigned
Dec 1, 2010
Organization subpart
Yes
Parent organization
MATTHEW D KAY, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Matthew D Kay, M.D.NPI 1568462489
Title
President
Phone
(954) 971-1995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME63126 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N
Suite 126
Boca Raton, FL 33428-1762

Mailing address

3520 Oaks Way
Suite 503
Pompano Beach, FL 33069-5391
Phone (954) 971-1995

Other identifiers 1

IdentifierTypeStateIssuer
372020900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110203000790 FL Part B Supplier - Clinic/Group Practice 8325228653 Receives reassigned benefits from 3 practitioners
Practice locations: Aventura, FL; Fort Lauderdale, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1720380405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 OAKS WAY",
            "address_2": "SUITE 503",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695391",
            "telephone_number": "954-971-1995",
            "fax_number": "786-238-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "SUITE 126",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281762",
            "telephone_number": "561-487-6600",
            "fax_number": "561-487-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW D KAY, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEW D KAY, M.D., P.A.",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-971-1995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME63126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372020900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.