Individual provider Active NPI

Charles Ozak Gonik, M.D.

  • Obstetrics & Gynecology Physician
  • Delray Beach, FL
National Provider Identifier
1962452789
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME69198 Issued in FL
Practice address
225 S Congress Ave
Delray Beach, FL 33445-4616
Phone
(561) 274-3100
Fax
(561) 837-5332
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME69198 FL Primary
Obstetrics & Gynecology Physician 207V00000X 4301045929 MI

Addresses

Primary practice location

225 S Congress Ave
Delray Beach, FL 33445-4616

Mailing address

2520 S Telegraph Rd
Suite 200
Bloomfield Hills, MI 48302-0285
Phone (248) 335-9207

Other identifiers 1

IdentifierTypeStateIssuer
10-4170036MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Apr 16, 2013 Accepting new patients
Florida Department of Health CurrentSince Apr 16, 2013 Accepting new patients

Locations

225 S Congress Ave
Delray Beach, FL 33445
Phone (561) 274-3100

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1962452789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020285",
            "telephone_number": "248-335-9207",
            "fax_number": "248-335-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CONGRESS AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454616",
            "telephone_number": "561-274-3100",
            "fax_number": "561-837-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONIK",
        "first_name": "CHARLES",
        "middle_name": "OZAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME69198",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301045929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4170036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.