Healthcare Provider Details

I. General information

NPI: 1134919178
Provider Name (Legal Business Name): CHAYA FAIGEL CAGAN FNP-MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21301 POWERLINE RD
BOCA RATON FL
33433-2388
US

IV. Provider business mailing address

7706 VILLA NOVA DR
BOCA RATON FL
33433-1025
US

V. Phone/Fax

Practice location:
  • Phone: 347-631-1608
  • Fax:
Mailing address:
  • Phone: 347-631-1608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11040598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: