NPIMap

Organization Active NPI

Ally Recovery Group

  • Addiction Medicine (Internal Medicine) Physician
  • Royal Palm Beach, FL
National Provider Identifier
1730628652
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
ALLY RECOVERY GROUP
Practice address
420 S State Road 7
Suite 122
Royal Palm Beach, FL 33414-4303
Phone
(561) 469-8336
Fax
(561) 619-9367
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Judie Neal
Title
Director of Administrative Services
Phone
(561) 469-8336

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

420 S State Road 7
Suite 122
Royal Palm Beach, FL 33414-4303

Mailing address

420 S State Road 7
Suite 122
Royal Palm Beach, FL 33414-4303
Phone (561) 469-8336

Other identifiers 1

IdentifierTypeStateIssuer
1053860262OtherOUT PATIENT FACILITY

National Provider Directory

National Provider Directory
Tax ID family
Ally Recovery Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1730628652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S STATE ROAD 7",
            "address_2": "SUITE 122",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144303",
            "telephone_number": "561-469-8336",
            "fax_number": "561-619-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE ROAD 7",
            "address_2": "SUITE 122",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144303",
            "telephone_number": "561-469-8336",
            "fax_number": "561-619-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY RECOVERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "JUDIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "561-469-8336"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT PATIENT FACILITY",
            "identifier": "1053860262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.