Jack A Kravitz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0041286 Issued in FL

Practice address

2825 N State Rd 7
#304
Margate, FL 33063

Phone

(954) 977-4101

Fax

(954) 977-6650

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Columbia Primary Care LLC

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1265567994
  NPD (past)
• DRS. Labi & Brady, PA

  • Durable Medical Equipment & Medical Supplies
  • Coral Springs, FL
  • NPI 1578739546
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003841263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N STATE RD 7",
            "address_2": "#304",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-977-4101",
            "fax_number": "954-977-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N STATE RD 7",
            "address_2": "#304",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-977-4101",
            "fax_number": "954-977-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "JACK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0041286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049067900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talya Kohan-Shohet
• Puja Giri Koirala, D.O.
• Jamie Korenge, AGACNP-BC
• Amanda Kowalski, DO
• Kerri Marie Krauss
• Nazha Kuno
• Kelsey Kupiec, PHARMD
• Jason Robert Kwiatkowski, PA-C
• L&D Paradise, LLC
• Danielle D La Barrie, LCSW, QS, CAP

• Family Medicine Physician in Margate, FL
• Providers in Margate, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.