Individual provider Active NPI

Jason Alexander Bertematti, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1073071569
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9112014 Issued in FL
Practice address
7600 SW 87TH Ave Ste 102
Miami, FL 33173-3635
Phone
(305) 275-6770
Fax
(305) 275-6440
NPI assigned
Mar 4, 2019
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9112014 FL Primary

Addresses

Primary practice location

7600 SW 87TH Ave Ste 102
Miami, FL 33173-3635

Mailing address

8975 SW 86TH St
Miami, FL 33173-4540
Phone (305) 439-9411

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412001900 FL Practitioner - Physician Assistant 6406197722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

5000 University Dr
Coral Gables, FL 33146-2008
Phone (786) 308-3000

6125 SW 31St St
Miami, FL 33155-3003
Phone (305) 666-6511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9112014FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Mar 2, 2019 Accepting new patients
Ortho Florida, LLC CurrentSince Mar 2, 2019 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

7600 SW 87th Ave
Ste 102
Miami, FL 33173
Phone (305) 209-1218

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1073071569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8975 SW 86TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734540",
            "telephone_number": "305-439-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 87TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733635",
            "telephone_number": "305-275-6770",
            "fax_number": "305-275-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTEMATTI",
        "first_name": "JASON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.