Boca Raton Podiatry and Sports Medicine Institute

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

Legal business name

BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE

Practice address

5458 Town Center Rd Ste 17
Boca Raton, FL 33486-1009

Phone

(561) 416-1196

Fax

(561) 416-1822

NPI assigned

Jun 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Goldstein, DPM

Title

Owner /Podiatrist

Phone

(561) 416-1196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1982263638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD STE 17",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861009",
            "telephone_number": "561-416-1196",
            "fax_number": "561-416-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD STE 17",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861009",
            "telephone_number": "561-416-1196",
            "fax_number": "561-416-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON PODIATRY AND SPORTS MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER /PODIATRIST",
        "authorized_official_telephone_number": "561-416-1196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.