NPIMap

Organization Active NPI

East Boca Podiatry PA

  • Podiatrist
  • Boca Raton, FL
National Provider Identifier
1972645398
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO998 Issued in FL
Legal business name
EAST BOCA PODIATRY PA
Practice address
5458 Town Center Rd
Suite 17
Boca Raton, FL 33486-1089
Phone
(561) 416-1196
Fax
(566) 141-6182
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Barry Alan Rudin, DPM
Title
Owner
Phone
(561) 416-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO998 FL Primary

Addresses

Primary practice location

5458 Town Center Rd
Suite 17
Boca Raton, FL 33486-1089

Mailing address

5458 Town Center Rd
Suite 17
Boca Raton, FL 33486-1089
Phone (561) 416-1196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1972645398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 17",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-416-1196",
            "fax_number": "566-141-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 17",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-416-1196",
            "fax_number": "566-141-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BOCA PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "RUDIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-416-1196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO998",
            "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 Jul 16, 2008; 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.