Jay Mermelstein MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0037529 Issued in FL

Legal business name

JAY MERMELSTEIN MD PA

Practice address

3890 Tampa Rd
Suite 303
Palm Harbor, FL 34684-3676

Phone

(727) 786-1747

Fax

(727) 789-2961

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jay Mermelstein, MDNPI 1750496105

Title

President

Phone

(727) 786-1747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Mermelstein, M.D.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1750496105
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1033395058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 303",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-786-1747",
            "fax_number": "727-789-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 303",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-786-1747",
            "fax_number": "727-789-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY MERMELSTEIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MERMELSTEIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-786-1747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0037529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Jannelli, COTA/L
• Rebecca A Jansen, LDO
• Melissa Jaramillo
• Christina Jauch
• Jay H Ross MD PA
• Kristen A Jaye, DPT
• Jba SVCS Inc D/B/a Forest Hills Home
• Jeem Enterprises Inc
• Joshua Jefferies
• Stephen Henry Jensen, DDS

• Family Medicine Physician in Palm Harbor, FL
• Providers in Palm Harbor, 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 Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.