Individual provider Active NPI

Daniel Edward Finegan, P.A.C.

  • Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1811007040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103538 Issued in FL
Practice address
5130 Linton Blvd
Suite E2
Delray Beach, FL 33484-6596
Phone
(561) 498-8891
Fax
(561) 498-8031
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103538 FL Primary

Addresses

Primary practice location

5130 Linton Blvd
Suite E2
Delray Beach, FL 33484-6596

Mailing address

531 N Ocean Blvd
Apt 1607
Pompano Beach, FL 33062-4641
Phone (845) 774-6838

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000331 FL Practitioner - Physician Assistant 1153343041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811007040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N OCEAN BLVD",
            "address_2": "APT 1607",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624641",
            "telephone_number": "845-774-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "SUITE E2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846596",
            "telephone_number": "561-498-8891",
            "fax_number": "561-498-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINEGAN",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "credential": "P.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.