Jensen Beach Family Practice, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME68270 Issued in FL

Legal business name

JENSEN BEACH FAMILY PRACTICE, INC

Practice address

3405 NW Federal Hwy
Jensen Beach, FL 34957-4439

Phone

(772) 692-8082

Fax

(772) 232-9211

NPI assigned

Oct 3, 2013

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Michael Adelberg, M.D.NPI 1225024417

Title

Owner/President

Phone

(772) 692-8082

Specialties & licenses 1

Addresses

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.

• Jonathan Michael Adelberg, M.D.

  • Emergency Medicine Physician
  • Jensen Beach, FL
  • NPI 1225024417
  Authorized official Same address or phone

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1073940151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574439",
            "telephone_number": "772-692-8082",
            "fax_number": "772-232-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574439",
            "telephone_number": "772-692-8082",
            "fax_number": "772-232-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN BEACH FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "ADELBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "772-692-8082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JBRC Medical, LLC
• JBRC Medical, LLC
• Steffie Michelle Jean-Baskin, MSW
• Jensen Beach Animal Hospital , LLC
• Jensen Beach Dental Center
• Jensen Physical Therapy Inc.
• Jewell R. Chang OD PA
• Melinda Johnson, LCSW
• Allison Kaellen Jones, MOTR/L, DPT
• Virginia O Jones, LCSW

• Internal Medicine Physician in Jensen Beach, FL
• Providers in Jensen Beach, 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 Oct 3, 2013; 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.