Organization Active NPI

Internal Medicine Associates SNF LLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1912456963
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME80235 Issued in FL
Legal business name
INTERNAL MEDICINE ASSOCIATES SNF LLC
Practice address
1601 Clint Moore Rd
Suite 200-2
Boca Raton, FL 33487-2768
Phone
(561) 939-0760
Fax
(561) 939-0755
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Jeffrey Gross, MDNPI 1104936780
Title
Authoried Official
Phone
(561) 939-0760

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME80235 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Suite 200-2
Boca Raton, FL 33487-2768

Mailing address

1601 Clint Moore Rd
Suite 200-2
Boca Raton, FL 33487-2768
Phone (561) 939-0760

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1601 Clint Moore Rd
Ste 2002
Boca Raton, FL 33487
Phone (561) 939-0760

5341 Atlantic Ave
Ste 301
Delray Beach, FL 33484
Phone (305) 807-8089

Practitioners & affiliated clinicians

Practitioners 6

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": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1912456963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 200-2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-0760",
            "fax_number": "561-939-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 200-2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-0760",
            "fax_number": "561-939-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "AUTHORIED OFFICIAL",
        "authorized_official_telephone_number": "561-939-0760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80235",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 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.