Ernestine Nonye Jideama, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME131259 Issued in FL

Practice address

285 SE 5TH Ave
Delray Beach, FL 33483-5206

Phone

(561) 272-8991

NPI assigned

Jan 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mar Medical Consultants, PA

  • Pediatrics Physician
  • Delray Beach, FL
  • NPI 1720147275
  NPD
• Mar Medical Consultants, PA

  • Pediatrics Physician
  • Delray Beach, FL
  • NPI 1578991857
  NPD (past)
• Jonesboro Pediatrics

  • Pediatrics Physician
  • Jonesboro, GA
  • NPI 1225296155
  NPD (past)

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1023312832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361106",
            "telephone_number": "770-478-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SE 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835206",
            "telephone_number": "561-272-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIDEAMA",
        "first_name": "ERNESTINE",
        "middle_name": "NONYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-08",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "550256",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME131259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemp LLC
• Olivia Jenkins
• Susan Jensen, LMT
• Gracenia Jerome
• Daniel Jewelewicz, MD
• JM Chirocare
• JMC Medical Associates
• JMS Psychology Inc.
• JN Nursing Registry, Inc
• Ashlie Jobst, PA

• Pediatrics Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.