Active NPI
Mariana Berger, PA
- Physician Assistant
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9108755
- Practice address
- 6080 W Boynton Beach Blvd
Number 100
Boynton Beach, FL 33437 - Phone
- (877) 412-7272
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9108755 | FL | Primary |
Addresses
Primary practice location
6080 W Boynton Beach Blvd
Number 100
Boynton Beach, FL 33437
Mailing address
6586 Hypoluxo Rd Ste 334
Lake Worth, FL 33467-7678
Phone (877) 412-7272
Other practice location 1
2000 Continental Dr Ste B
West Palm Beach, FL 33407-3207
Phone (561) 318-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01622410 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CameronSpineInstitue.BlaineCameron@130839.advancedmd-direct.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108755 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accountable Care Hospitalist Group | Current | Accepting new patients |
Locations
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- cameronspineinstitue.blainecameron@130839.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Wellington, FL
- NPI 1659640282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1730560145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6586 HYPOLUXO RD STE 334",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677678",
"telephone_number": "877-412-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 W BOYNTON BEACH BLVD",
"address_2": "NUMBER 100",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33437",
"telephone_number": "877-412-7272"
}
],
"practiceLocations": [
{
"address_1": "2000 Continental Dr Ste B",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334073207",
"country_code": "US",
"telephone_number": "561-318-8440",
"fax_number": "855-436-5466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGER",
"first_name": "MARIANA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2021-04-09",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9108755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01622410",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CameronSpineInstitue.BlaineCameron@130839.advancedmd-direct.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6586 Hypoluxo Rd Ste 334",
"city": "Lake Worth",
"state": "FL",
"country_code": "US",
"postal_code": "334677678",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.