Organization Active NPI

North General Center of Medicine

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1730397555
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH GENERAL CENTER OF MEDICINE
Practice address
1325 S Congress Ave Ste 101
Boynton Beach, FL 33426-5802
Phone
(561) 733-2929
Fax
(561) 736-8467
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Dr. Jean Laventure Renelien, M.D
Title
Owner
Phone
(561) 414-6248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME86189 FL

Addresses

Primary practice location

1325 S Congress Ave Ste 101
Boynton Beach, FL 33426-5802

Mailing address

1325 S Congress Ave
Boynton Beach, FL 33426-5876
Phone (561) 733-2929

Other practice location 1

4320 W Broward Blvd
Plantation, FL 33317-3756
Phone (954) 585-6420

Other identifiers 1

IdentifierTypeStateIssuer
265955700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000833 FL Part B Supplier - Clinic/Group Practice 9931383064 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL; Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

1315 N Federal Hwy
Boynton Beach, FL 33435
Phone (561) 733-2929

1325 S Congress Ave
Ste 101
Boynton Beach, FL 33426
Phone (561) 733-2929

1315 N Federal Hwy
Ste 16
Boynton Beach, FL 33435

1550 N Federal Hwy
Ste 16
Boynton Beach, FL 33435
Phone (561) 733-2929

4320 W Broward Blvd
Plantation, FL 33317
Phone (954) 583-1311

4320 W Broward Blvd
Ste 3
Plantation, FL 33317
Phone (954) 585-6420

Practitioners & affiliated clinicians

Practitioners 2

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1730397555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-733-2929",
            "fax_number": "561-736-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265802",
            "telephone_number": "561-733-2929",
            "fax_number": "561-736-8467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333173756",
            "country_code": "US",
            "telephone_number": "954-585-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH GENERAL CENTER OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "RENELIEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "LAVENTURE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-414-6248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME86189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265955700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 11, 2022; 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.