Individual provider Active NPI

Joseph Gromer Ouslander, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1780783647
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME101797 Issued in FL
Practice address
777 Glades Road
College of Medicine
Boca Raton, FL 33431
Phone
(404) 728-6295
NPI assigned
Sep 21, 2006
Last updated
May 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 42909 GA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME101797 FL Primary

Addresses

Primary practice location

777 Glades Road
College of Medicine
Boca Raton, FL 33431

Mailing address

777 Glades Road
College of Medicine
Boca Raton, FL 33431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000751 FL Practitioner - Internal Medicine 9638244361 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME101797FLMDGeriatric Medicine (Internal Medicine) Physician
42909GAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Hospitalists Inc CurrentSince Oct 1, 2018 Accepting new patients
Florida Atlantic University CurrentSince May 1, 2019 Accepting new patients
Florida Atlantic University Current Accepting new patients
West Palm Beach Physician Group Inc CurrentSince Jul 1, 2018 Accepting new patients
Florida Atlantic University CurrentSince May 1, 2019 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Oct 1, 2018 Accepting new patients
JFK Internal Medicine Faculty Practice, LLC Past Accepting new patients

Locations

777 Glades Rd
#71
Boca Raton, FL 33431
Phone (561) 297-4828

777 Glades Rd
Bldg AZ79
Boca Raton, FL 33431
Phone (561) 297-0502

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

880 NW 13th St
Ste 400
Boca Raton, FL 33486
Phone (561) 297-4814

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1780783647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 GLADES ROAD",
            "address_2": "COLLEGE OF MEDICINE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES ROAD",
            "address_2": "COLLEGE OF MEDICINE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "404-728-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUSLANDER",
        "first_name": "JOSEPH",
        "middle_name": "GROMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "42909",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME101797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.