Organization Active NPI

Nevine M Carp MD PA

  • Pulmonary Disease Physician
  • Boynton Beach, FL
National Provider Identifier
1972792216
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME80077 Issued in FL
Legal business name
NEVINE M CARP MD PA
Practice address
2623 S Seacrest Blvd Ste 208
Boynton Beach, FL 33435-7532
Phone
(561) 374-7911
Fax
(561) 734-8104
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Nevine M. Carp, M. D.NPI 1093839656
Title
President
Phone
(561) 374-7911

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME80077 FL Primary

Addresses

Primary practice location

2623 S Seacrest Blvd Ste 208
Boynton Beach, FL 33435-7532

Mailing address

2623 S Seacrest Blvd Ste 208
Boynton Beach, FL 33435-7532
Phone (561) 374-7911

Other identifiers 1

IdentifierTypeStateIssuer
258944300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071215000001 FL Part B Supplier - Clinic/Group Practice 5193815082 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

2623 S Seacrest Blvd
Ste 20
Boynton Beach, FL 33435
Phone (561) 374-7911

2623 S Seacrest Blvd
Ste 208
Boynton Beach, FL 33435
Phone (561) 374-7911

5130 Linton Blvd
Ste A2
Delray Beach, FL 33484
Phone (561) 499-9990

Practitioners & 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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1972792216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD STE 208",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357532",
            "telephone_number": "561-374-7911",
            "fax_number": "561-734-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 S SEACREST BLVD STE 208",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357532",
            "telephone_number": "561-374-7911",
            "fax_number": "561-734-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVINE M CARP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "CARP",
        "authorized_official_first_name": "NEVINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-374-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME80077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258944300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.

Verify at the official NPI Registry.