Organization Active NPI

Gastro Group of the Palm Beaches LLP

  • Gastroenterology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1861700833
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO GROUP OF THE PALM BEACHES LLP
Practice address
3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825
Phone
(561) 659-6543
Fax
(561) 659-3533
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Mrs. Lisa Bolognini
Title
Chief Operating Officer
Phone
(561) 659-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825

Mailing address

3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825

Other practice location 1

1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412
Phone (561) 659-6543

Other identifiers 1

IdentifierTypeStateIssuer
002990900MedicaidFL

National Provider Directory

National Provider Directory

Locations

3401 Pga Blvd
Ste 200
West Palm Beach, FL 33410

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0004948

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1861700833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 500",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 500",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102825",
            "telephone_number": "561-659-6543",
            "fax_number": "561-659-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 N Flagler Dr Ste 5600",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013412",
            "country_code": "US",
            "telephone_number": "561-659-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTRO GROUP OF THE PALM BEACHES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "BOLOGNINI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "561-659-6632",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002990900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.