Active NPI
Adult&Geriactric Institute
- Specialist
- Fort Lauderdale, FL
National Provider Identifier
1740377357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ADULT&GERIACTRIC INSTITUTE
- Practice address
- 4010 N Ocean Blvd
Fort Lauderdale, FL 33308-6420 - Phone
- (954) 566-5700
- Fax
- (954) 566-5799
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andres Mencia
- Title
- MD
- Phone
- (954) 489-1345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4010 N Ocean Blvd
Fort Lauderdale, FL 33308-6420
Mailing address
4010 N Ocean Blvd
Fort Lauderdale, FL 33308-6420
Phone (954) 566-5700
National Provider Directory
National Provider Directory- Tax ID family
- Adult Geriatric Institute of Florida Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Pompano Beach, FL
- NPI 1093742678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740377357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 N OCEAN BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333086420",
"telephone_number": "954-566-5700",
"fax_number": "954-566-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 N OCEAN BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333086420",
"telephone_number": "954-566-5700",
"fax_number": "954-566-5799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT&GERIACTRIC INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MENCIA",
"authorized_official_first_name": "ANDRES",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "954-489-1345"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.