Organization Active NPI

Boca Family Practice

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1760704134
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
BOCA FAMILY PRACTICE
Practice address
7100 Camino Real Ste 200
Boca Raton, FL 33433-5510
Phone
(561) 391-6552
Fax
(561) 391-6285
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Jason Gajraj
Title
Owner
Phone
(754) 812-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

7100 Camino Real Ste 200
Boca Raton, FL 33433-5510

Mailing address

7100 Camino Real Ste 200
Boca Raton, FL 33433-5510
Phone (561) 391-6552

Other names 1

  • BOCA FAMILY PRACTICE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0690920Boca Family Practice7100 West Camino Real Suite 200, Boca Raton, FL 33433Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

7280 W Palmetto Park Rd
Ste 104
Boca Raton, FL 33433
Phone (561) 272-5282

7100 Camino Real
Ste 200
Boca Raton, FL 33433
Phone (561) 391-6552

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1760704134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CAMINO REAL STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-391-6552",
            "fax_number": "561-391-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CAMINO REAL STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-391-6552",
            "fax_number": "561-391-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "GAJRAJ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-812-1000"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOCA FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BOCA FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.