NPIMap

Organization Active NPI

Palm Beach Urology Associates PA

  • Urology Physician
  • Loxahatchee, FL
National Provider Identifier
1730167875
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PALM BEACH UROLOGY ASSOCIATES PA
Practice address
12953 Palms West Dr
Suite 201
Loxahatchee, FL 33470-4990
Phone
(561) 790-2111
Fax
(561) 790-0893
NPI assigned
Jan 9, 2006
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Ms. Nadya Prieto
Title
Office Administrator
Phone
(561) 790-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

12953 Palms West Dr
Suite 201
Loxahatchee, FL 33470-4990

Mailing address

12953 Palms West Dr
Suite 201
Loxahatchee, FL 33470-4990
Phone (561) 790-2111

Other identifiers 1

IdentifierTypeStateIssuer
2 052637100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1730167875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704990",
            "telephone_number": "561-790-2111",
            "fax_number": "561-790-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR",
            "address_2": "SUITE 201",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704990",
            "telephone_number": "561-790-2111",
            "fax_number": "561-790-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH UROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "NADYA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-790-2111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2 052637100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.