Active NPI
Custom Care Medical PLLC
- Internal Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1942926001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CUSTOM CARE MEDICAL PLLC
- Practice address
- 3345 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4304 - Phone
- (561) 622-7606
- Fax
- (561) 622-6775
- NPI assigned
- Oct 19, 2022
- 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
- Frank Contacessa, MD
- Title
- Physician/Owner
- Phone
- (561) 622-7606
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3345 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4304
Mailing address
3345 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4304
Phone (561) 622-7606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1666137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1942926001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 BURNS RD STE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104304",
"telephone_number": "561-622-7606",
"fax_number": "561-622-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 BURNS RD STE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104304",
"telephone_number": "561-622-7606",
"fax_number": "561-622-6775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM CARE MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A",
"authorized_official_last_name": "CONTACESSA",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "561-622-7606",
"authorized_official_credential": "MD"
},
"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 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 Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.