Jacque' Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JACQUE' INC

Practice address

3291 NE 2ND Ave Ste 10
Oakland Park, FL 33334-1101

Phone

(786) 496-4091

NPI assigned

Jan 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline M Small, DMSC, PA-CNPI 1700939410

Title

Owner

Phone

(786) 266-7591

Specialties & licenses 1

Addresses

Other names 1

• Jacque' Inc Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Marie Small, PA-C

  • Medical Physician Assistant
  • Miami, FL
  • NPI 1700939410
  NPD Authorized official

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640995200000",
    "number": "1073274171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 NW 103RD ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331501236",
            "telephone_number": "786-266-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 NE 2ND AVE STE 10",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341101",
            "telephone_number": "786-496-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUE' INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-266-7591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMSC, PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacque' Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physician Assistant in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; 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.