NPIMap

Organization Active NPI

Andrew H Zwick MD LLC

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1891794103
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0065365 Issued in FL
Legal business name
ANDREW H ZWICK MD LLC
Practice address
5458 Town Center Rd
Suite 19
Boca Raton, FL 33486-1089
Phone
(561) 395-2424
Fax
(561) 395-2709
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Andrew Harrison Zwick, MDNPI 1003814922
Title
Owner
Phone
(561) 395-2424

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0065365 FL Primary

Addresses

Primary practice location

5458 Town Center Rd
Suite 19
Boca Raton, FL 33486-1089

Mailing address

5458 Town Center Rd
Suite 19
Boca Raton, FL 33486-1089
Phone (561) 395-2424

Other identifiers 4

IdentifierTypeStateIssuer
5521288OtherFLAETNA PROV NUMBER
28433OtherFLBC/BS HEALTH OPTIONS NUMB
2983677-007OtherFLCIGNA PROVIDER NUMBER
ME0065365OtherFLFL LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Andrew H Zwick MD 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

5458 Town Center Rd
Ste 19
Boca Raton, FL 33486
Phone (561) 338-0700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1891794103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 19",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-395-2424",
            "fax_number": "561-395-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 19",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-395-2424",
            "fax_number": "561-395-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW H ZWICK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "ZWICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-395-2424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0065365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV NUMBER",
            "identifier": "5521288",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HEALTH OPTIONS NUMB",
            "identifier": "28433",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "2983677-007",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE NUMBER",
            "identifier": "ME0065365",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.