Organization Active NPI

Coresmart, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boca Raton, FL
National Provider Identifier
1972278109
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
CORESMART, INC.
Practice address
5458 Town Center Rd Ste 103
Boca Raton, FL 33486-1026
Phone
(561) 923-9599
Fax
(561) 923-9602
NPI assigned
Aug 10, 2021
Organization subpart
Yes
Parent organization
CORESMART, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Jarrod D Friedman, MDNPI 1730192915
Title
President
Phone
(561) 923-9599

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
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

5458 Town Center Rd Ste 103
Boca Raton, FL 33486-1026

Mailing address

5458 Town Center Rd Ste 103
Boca Raton, FL 33486-1026
Phone (561) 923-9599

Other practice location 1

4700 N Congress Ave Ste 304
West Palm Beach, FL 33407-3292
Phone (561) 923-9599

National Provider Directory

National Provider Directory
Part of
Coresmart Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1972278109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861026",
            "telephone_number": "561-923-9599",
            "fax_number": "561-923-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861026",
            "telephone_number": "561-923-9599",
            "fax_number": "561-923-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Congress Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073292",
            "country_code": "US",
            "telephone_number": "561-923-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORESMART, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORESMART, INC.",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-923-9599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "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 Aug 10, 2021; 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.