NPIMap

Organization Active NPI

Gastroenterology Consultants of Boca Raton

  • Gastroenterology Physician
  • Boca Raton, FL
National Provider Identifier
1720628662
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY CONSULTANTS OF BOCA RATON
Doing business as
Gastroenterology Consultants of Boca Raton
Practice address
951 NW 13TH St Ste 2E
Boca Raton, FL 33486-2337
Phone
(561) 455-3145
Fax
(561) 368-8642
NPI assigned
Jan 8, 2020
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Peter Salomon, MDNPI 1699747501
Title
Co-Owner
Phone
(561) 455-3145

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
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

951 NW 13TH St Ste 2E
Boca Raton, FL 33486-2337

Mailing address

951 NW 13TH St Ste 2E
Boca Raton, FL 33486-2337
Phone (561) 455-3145

Other names 1

  • Gastroenterology Consultants of Boca Raton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200206002683 FL Part B Supplier - Clinic/Group Practice 3971939174 Receives reassigned benefits from 11 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

951 NW 13th St
Boca Raton, FL 33486
Phone (561) 368-3455

Practitioners & affiliated clinicians

Practitioners 12

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": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1720628662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST STE 2E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "561-455-3145",
            "fax_number": "561-368-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST STE 2E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "561-455-3145",
            "fax_number": "561-368-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS OF BOCA RATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "SALOMON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "561-455-3145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology Consultants of Boca Raton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2020; 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.