Active NPI
Richard Allen Peshkin, MD
- General Practice Physician
- Boca Raton, FL
National Provider Identifier
1780834036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME-30792
- Practice address
- 5227-A Lake Catalina Dr. N
Boca Raton, FL 33496 - Phone
- (561) 241-5959
- Fax
- (561) 241-5504
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME-30792 | FL | Primary |
Addresses
Primary practice location
5227-A Lake Catalina Dr. N
Boca Raton, FL 33496
Mailing address
5227-A Lake Catalina Dr. N
Boca Raton, FL 33496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-30792 | FL | MD | General Practice Physician |
| 30792 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1780834036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5227-A LAKE CATALINA DR. N",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5227-A LAKE CATALINA DR. N",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33496",
"telephone_number": "561-241-5959",
"fax_number": "561-241-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESHKIN",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME-30792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.