Palm Beach Obstetrics & Gynecology, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PALM BEACH OBSTETRICS & GYNECOLOGY, PA

Practice address

4671 S Congress Ave
Suite 100B
Lake Worth, FL 33461-4783

Phone

(561) 434-0111

Fax

(561) 296-3533

NPI assigned

Mar 13, 2008

Last updated

Apr 3, 2018By 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

Mrs. Vivian Viteri

Title

Administrator

Phone

(561) 434-0111

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1922279389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4671 S CONGRESS AVE",
            "address_2": "SUITE 100B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614783",
            "telephone_number": "561-434-0111",
            "fax_number": "561-296-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 S CONGRESS AVE",
            "address_2": "SUITE 100B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614783",
            "telephone_number": "561-434-0111",
            "fax_number": "561-296-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH OBSTETRICS & GYNECOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "VITERI",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-434-0111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002004200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371772100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272506100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256189100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004197300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272505300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Medical Equipment, Inc.
• Palm Beach Neck & Back Rehabilitation Center LLC
• Palm Beach Neurology
• Palm Beach Neurosurgery LLC (Palm Beach Neurosurgery)
• Palm Beach Nursing Center LLC (Palm Beach Nursing Center)
• Palm Beach Pathology PA
• Palm Beach Physical Medicine and Rehabilitation,LLC
• Palm Beach Physical Therapy & Rehabilitation
• Palm Beach Physicians, PA
• Palm Beach Recovery Coalition, Inc.

• Obstetrics & Gynecology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.