Active NPI
Vie Medical Center Inc.,
- Internal Medicine Physician
- Delray Beach, FL
National Provider Identifier
1891354635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VIE MEDICAL CENTER INC.,
- Practice address
- 2160 W Atlantic Ave FL 1
Delray Beach, FL 33445-4660 - Phone
- (561) 425-8888
- Fax
- (855) 878-2200
- NPI assigned
- Jun 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Marcus
- Title
- Ceo/President
- Phone
- (561) 425-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2160 W Atlantic Ave FL 1
Delray Beach, FL 33445-4660
Mailing address
PO Box 7521
Delray Beach, FL 33482-7521
Phone (561) 425-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200204002528 | FL | Part B Supplier - Clinic/Group Practice | 6002242377 |
Receives reassigned benefits from 1 practitioner Practice locations: Delray Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2177309 | Vie Medical Center Inc | Certificate of waiver | Jan 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
2160 W Atlantic Ave
Fl 1
Delray Beach, FL 33445
Phone (561) 425-8888
Interoperability endpoints
- https://api.platform.athenahealth.com/20200/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1164466405
FL, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593993600000",
"number": "1891354635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7521",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334827521",
"telephone_number": "561-425-8888",
"fax_number": "855-878-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 W ATLANTIC AVE FL 1",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334454660",
"telephone_number": "561-425-8888",
"fax_number": "855-878-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIE MEDICAL CENTER INC.,",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A",
"authorized_official_last_name": "MARCUS",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "561-425-8888",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.