Organization Active NPI

TGPN M2 LLC

Doing business as Tampa General Hospital Primary Care

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1811679103
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TGPN M2 LLC
Doing business as
Tampa General Hospital Primary Care
Practice address
4620 Pga Blvd Ste 101
Palm Beach Gardens, FL 33418-3991
Phone
(561) 832-1234
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Abraham Schwarzberg, MDNPI 1811967243
Title
President
Phone
(561) 331-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4620 Pga Blvd Ste 101
Palm Beach Gardens, FL 33418-3991

Mailing address

6415 Lake Worth Rd Ste 102
Greenacres, FL 33463-3009
Phone (561) 331-0808

Other names 1

  • Tampa General Hospital Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230918002610 FL Part B Supplier - Clinic/Group Practice 4880058205 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory
Tax ID family
TGPN M2 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4620 Pga Blvd
Ste 101
Palm Beach Gardens, FL 33418
Phone (561) 559-0955

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1811679103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD STE 102",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633009",
            "telephone_number": "561-331-0808",
            "fax_number": "561-594-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 PGA BLVD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183991",
            "telephone_number": "561-832-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGPN M2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHWARZBERG",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-331-0808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa General Hospital Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tampa General Hospital Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.