Edward M Jeryan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0034633 Issued in FL

Practice address

3345 Burns Rd
Suite 302
Palm Beach Gardens, FL 33410-4324

Phone

(561) 622-7661

Fax

(561) 622-4651

NPI assigned

Jun 20, 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

Specialty

Internal Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coastal Family Practice and Internal MedicineGroup PAC ID 6103241799, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIHACD/Endpoint/HIHACD

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.

• Coastal Family Practice and Internal Medicine

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1629686613
  Medicare reassignment Care Compare group NPD
• Accountable Care Post Acute Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Palm Springs, FL
  • NPI 1598209769
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1053356295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "SUITE 302",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104324",
            "telephone_number": "561-622-7661",
            "fax_number": "561-622-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "SUITE 302",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104324",
            "telephone_number": "561-622-7661",
            "fax_number": "561-622-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERYAN",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0034633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME00343633",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Presser MD PA
• Jeffrey R Ward MD PA
• Lafayette Ervin Jenkins, LMHC, LPHA, CAMS-3
• Dena Jenne
• Jennifer Bagwell LLC
• Jessica E Harrison, LCSW
• Jetdoc, Inc.
• Rose Jeudine
• Jason Martin Jewell, D.C.
• JFK Medical Center Limited Partnership (HCA Florida Palm Beach Gardens Emergency, a department of HCA Florida JFK Hospital)

• Internal Medicine Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.