NITI AMIN (NPI# 1114356573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114356573 |
| Entity Type | Individual |
| Full Name | NITI AMIN |
| Credential | PA-C |
| Practice Address |
715 W Boynton Beach Blvd Ste C Boynton Beach FL 33426-3625 |
| Mailing Address |
715 W Boynton Beach Blvd Boynton Beach FL 33426-3625 |
| Practice Telephone | 9736250600 |
| Practice Fax Number | 9736253434 |
| Mailing Telephone | 9736250600 |
| Mailing Fax Number | 9736253434 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9108030 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | PA9108030 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2605 W Atlantic Ave, Suite D204, Delray Beach, FL 334454413 | 5618195822 |
| Street Address |
715 W BOYNTON BEACH BLVD STE C |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720275266 | Cheryl Lori Zeidman | Physician Assistant | 715 W Boynton Beach Blvd Ste C, Boynton Beach, FL 33426 | 2007-09-28 |
| 1295126464 | Daniel Alejandro Gutierrez | Physician Assistant | 715 W Boynton Beach Blvd Ste C, Boynton Beach, FL 33426 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1699077503 | Jamie M Smith | Physician Assistant | 7862 Red Mahogany Rd, Boynton Beach, FL 33437-7530 | 2010-11-29 |
| 1497741292 | Gina Lowy | Physician Assistant | 1800 W Woolbright Rd Ste 201, Boynton Beach, FL 33426-6398 | 2005-09-27 |
| 1902355043 | Jasmine Kordbacheh | Physician Assistant | 6699 W Boynton Beach Blvd Ste B, Boynton Beach, FL 33437-3527 | 2016-09-30 |
| 1669832341 | Pure Age Management LLC | Physician Assistant | 1054 Gateway Blvd, Suite 103, Boynton Beach, FL 33426-8301 | 2016-02-24 |
| 1639589682 | Melissa G Raborn | Physician Assistant | 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7934 | 2014-04-30 |
| 1871915645 | Bruna Patricia Purgato Dantas | Physician Assistant | 6056 Boynton Beach Blvd Ste 145, Boynton Beach, FL 33437-3500 | 2014-01-14 |
| 1538479928 | Cynthia A Martinez | Physician Assistant | 2828 S Seacrest Blvd, Suite 104, Boynton Beach, FL 33435-7944 | 2010-10-19 |
| 1538478722 | Falona King | Physician Assistant | 211 E Boynton Beach Blvd, Boynton Beach, FL 33435-3839 | 2010-10-05 |
| 1922259316 | Sandra Goldberg | Physician Assistant | 10301 Hagen Ranch Rd, Suite 930, Boynton Beach, FL 33437-3724 | 2008-10-03 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
Please comment or provide details below to improve the information on NITI AMIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.