Sia - Specialty Infusion LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SIA - SPECIALTY INFUSION LLC

Practice address

2200 Glades Rd Ste 304
Boca Raton, FL 33431-7348

Phone

(561) 955-7079

NPI assigned

Nov 4, 2020

Last updated

Nov 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Seltzer

Title

Ceo

Phone

(561) 955-7079

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22712/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Jamie Pare, AANP, FNP-C

  • Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1558035709
  Medicare reassignment NPD
• Dov A Pickholtz, D.O.

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1649408493
  Medicare reassignment NPD
• Vito Carlo Proscia, MD

  • Gastroenterology Physician
  • Boca Raton, FL
  • NPI 1972575876
  Medicare reassignment NPD
• Karen Giselle Reyes, APRN

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1518565894
  Medicare reassignment NPD
• Jonathan Robert Gottlieb, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Coral Gables, FL
  • NPI 1649335639
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1821699034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GLADES RD STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317348",
            "telephone_number": "561-955-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GLADES RD STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317348",
            "telephone_number": "561-955-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIA - SPECIALTY INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "SELTZER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-955-7079"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G. Shumaker, PH.D.
• Julie Shuman, PSY.D.
• Skylar Shuminer, MMS, PA-C
• Clay Bryant Shumway, DPM
• John Allan Shwed, PHD, LCSW
• Vivian May Pelias Sibayan, MSN, APRN, AGPCNP-BC
• Deeptaz Kaur Sibia, DO
• Sican Group Inc. (Sican Home Services)
• Sican Group Incorporated (Sican Home Health Services)
• Sarah Marks Siciliano-Hartt, PH.D.

• Multi-Specialty Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.