Active NPI
Robert J. Anderson MD PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jupiter, FL
National Provider Identifier
1063600641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- ROBERT J. ANDERSON MD PA
- Practice address
- 600 University Blvd Ste 101
Jupiter, FL 33458-2778 - Phone
- (561) 776-7676
- Fax
- (561) 776-7585
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert J Anderson, M.D.
- Title
- President
- Phone
- (561) 776-7676
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
600 University Blvd Ste 101
Jupiter, FL 33458-2778
Mailing address
600 University Blvd Ste 101
Jupiter, FL 33458-2778
Phone (561) 776-7676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
600 University Blvd
Ste 101
Jupiter, FL 33458
Phone (561) 649-1100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Jupiter, FL
- NPI 1881685022
-
- Surgical Physician Assistant
- Jupiter, FL
- NPI 1205160983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191888000000",
"number": "1063600641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 UNIVERSITY BLVD STE 101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334582778",
"telephone_number": "561-776-7676",
"fax_number": "561-776-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 UNIVERSITY BLVD STE 101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334582778",
"telephone_number": "561-776-7676",
"fax_number": "561-776-7585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J. ANDERSON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-776-7676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.