Individual provider Active NPI

Nachum Shalom Ozeri, D.O.

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1992120356
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14352 Issued in FL
Practice address
7301 W Palmetto Park Rd Ste 106C
Boca Raton, FL 33433-3458
Phone
(561) 483-1125
Fax
(877) 460-1537
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L0105652-0384 TX
Family Medicine Physician 207Q00000X OS14352 FL Primary

Addresses

Primary practice location

7301 W Palmetto Park Rd Ste 106C
Boca Raton, FL 33433-3458

Mailing address

7301 W Palmetto Park Rd Ste 106C
Boca Raton, FL 33433-3458
Phone (561) 483-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170525002377 FL Practitioner - Family Practice 5395012140 Reassigns benefits to 2 organizations
I20180806001181 NY Practitioner - Family Practice 5395012140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Princeton Medical Group of Boca Raton LLCGroup PAC ID 3173932803, 2 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11219
Phone 7187954000389

7015 Beracasa Way
Boca Raton, FL 33433-3453
Phone (561) 939-2033

7301 W Palmetto Park Rd
Suite 106C
Boca Raton, FL 33433-3450
Phone (561) 483-1125

Hospital & facility affiliations

  • Allegiance Home Health and Rehab, Inc Home health agency, Boca Raton, FL, CCN 108280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0105652-0384TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remote Medical PC Family Medicine CurrentSince Jun 15, 2021 Accepting new patients
Princeton Medical Group of Boca Raton LLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

7301 W Palmetto Park Rd
Ste 106C
Boca Raton, FL 33433
Phone (561) 483-1125

9970 Central Park Blvd N
Ste 404
Boca Raton, FL 33428
Phone (561) 451-0500

6619 13th Ave
Brooklyn, NY 11219
Phone (347) 970-9164

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBECD
  • Direct secure messaging: nachum.ozeri.1@33077.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1992120356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD STE 106C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-483-1125",
            "fax_number": "877-460-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD STE 106C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-483-1125",
            "fax_number": "877-460-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZERI",
        "first_name": "NACHUM",
        "middle_name": "SHALOM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L0105652-0384",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.