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FLORIDA ATLANTIC UNIVERSITY ALZHEIMER'S PREVENTION CLINIC
NPI 1053736405
Alzheimer Center (Dementia Center) in Boca Raton, FL

Active since February 21, 2014CLIA Certified · 2 labs
777 GLADES RD, OFFICE BUILDING 1, BOCA RATON, FL 33431(561) 566-5328(561) 299-4220 Get Directions Write a Review

NPPES record last updated: April 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2023, Aug 6, 2022, Feb 5, 2022 and 4 more (7 updates tracked since 2016).

About Florida Atlantic University Alzheimer's Prevention Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA ATLANTIC UNIVERSITY ALZHEIMER'S PREVENTION CLINIC (NPI 1053736405) is a healthcare organization registered as an alzheimer center (dementia center) in Boca Raton, Florida and active in the NPI registry since February 2014. The organization holds 2 active CLIA laboratory certificates and lists Louisa Pontiroli-kelly, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053736405
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameFLORIDA ATLANTIC UNIVERSITY
Location Address777 GLADES RD, OFFICE BUILDING 1Boca Raton, FL 33431-6496
Mailing Address777 Glades Rd, Office Building 1Boca Raton, FL 33431-6496 · (561) 566-5328 · Fax (561) 299-4220
Phone(561) 566-5328
Fax(561) 299-4220
Organization SubpartNo
Authorized OfficialLouisa Pontiroli-kellyAuthorized Official · (561) 297-2897
Enumeration DateFebruary 21, 2014
Last NPPES UpdateApril 23, 20237 updates tracked since enumeration
NPPES CertifiedApril 23, 2023
✔ NPI 1053736405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
777 GLADES RD, Boca Raton, FL 33431
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Other Names 1

Doing Business AsFlorida Atlantic University Alzheimer's Prevention Clinic

Other Identifiers 1

Other0000000FL · Alzheimer's Prevention Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2195511

Florida Atlantic University · Boca Raton, FL
Active · expires Oct 8, 2026
CLIA Number10D2195511
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorCraig Wilder
Laboratory Phone(560) 297-2044
Laboratory LocationFlorida Atlantic University777 Glades Rd Tom Oxley Bldg Room 148, Boca Raton, FL 33431
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2171150

Florida Atlantic University-College Of Medicine · Boca Raton, FL
Active · expires Aug 26, 2027
CLIA Number10D2171150
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorLeonard K. Berkowitz
Laboratory Phone(561) 566-5328
Laboratory LocationFlorida Atlantic University-College Of Medicine880 NW 13th Street Ste 400, Boca Raton, FL 33486
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS
Specialist/Technologist, Other
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-2043
HAROLYN HALL
Nurse Practitioner
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (318) 547-0157
MS. CYNTHIA ESPINOSA DO
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-4828
AMMAAR JAN MD
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-4828
DR. RACHEL COLETTE ALEF DO
Student in an Organized Health Care Education/Training Program
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 334-6240
JACINTO JOSE GARRIDO ARNP B-C
Nurse Practitioner (Adult Health)
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-2871
DIONNE K.O SMITH DNP
Nurse Practitioner (Psychiatric/Mental Health)
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (754) 252-8223
DR. RICHARD S ISAACSON M.D.
Psychiatry & Neurology (Neurology)
777 GLADES RD, OFFICE BUILDING 1 FIRST FLOOR
BOCA RATON, FL 33431
Palm Beach County (561) 297-0372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Atlantic University's NPI number?

The NPI number for Florida Atlantic University is 1053736405. It was assigned to this organization in the NPPES registry on February 21, 2014. The provider is doing business as Florida Atlantic University Alzheimer's Prevention Clinic.

Where is Florida Atlantic University located?

Florida Atlantic University is located at 777 Glades Rd Office Building 1, Boca Raton, FL 33431. The listed phone number is (561) 566-5328.

What is Florida Atlantic University's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Florida Atlantic University hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Florida Atlantic University accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Atlantic University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Atlantic University was last updated on April 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.