Justin Parker Jeter, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME140375 Issued in FL

Practice address

15507 NW 67TH Ave
Miami Lakes, FL 33014-2108

Phone

(305) 821-8611

Fax

(305) 827-1753

NPI assigned

Apr 26, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jjeter@pa.trimed.direct-ci.com

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.

• Community Health of South Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naranja, FL
  • NPI 1023271855
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1043665169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "305-821-8611",
            "fax_number": "305-827-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15507 NW 67TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142108",
            "telephone_number": "305-821-8611",
            "fax_number": "305-827-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "JUSTIN",
        "middle_name": "PARKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME140375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103107800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Michael Health Care Services, Inc.
• Ange-Fennie Jean, LMFT
• Vanessa Jeanjacques
• Jel Medical Center Corp
• Jesus L Jimenez Barredo MD PA
• Zuleymis Jimenez Tapanes
• Vladimir Jimenez Vera, RBT
• Charlotte Jimenez
• Christian Jimenez
• Cristine Renee Jimenez

• Pediatrics Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.