Jupiter Internal Medicine Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME49954 Issued in FL

Legal business name

JUPITER INTERNAL MEDICINE GROUP LLC

Practice address

601 University Blvd
Suite 204
Jupiter, FL 33458-2788

Phone

(561) 747-5066

Fax

(561) 747-5190

NPI assigned

Dec 11, 2006

Last updated

Jan 19, 2010By 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. Raj Bansal, MD

Title

President

Phone

(561) 747-5066

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Joel Peter Lawler, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1073541520
  NPD (past)
• Amir Lubarsky, M.D.

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1245219047
  NPD (past)
• Urmila Mistry, MD

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1952395279
  NPD (past)
• Morgan Robert Poncy, MD

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1891716056
  NPD (past)
• Celia M Fernandez, M.D.

  • Rheumatology Physician
  • Cullman, AL
  • NPI 1447313952

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1083774723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 204",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-747-5066",
            "fax_number": "561-747-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 204",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-747-5066",
            "fax_number": "561-747-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER INTERNAL MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-747-5066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Home Health Agency, Inc. (Action Home Care)
• Jupiter Hospitalists Inc
• Jupiter Imaging Associates Inc
• Jupiter Infusion LLC
• Jupiter Internal Medicine Associates P a
• Jupiter Kidney Center LLC
• Jupiter Lakes Physician Group PA
• Jupiter Laser and Regenerative Medicine LLC
• Jupiter Medical Center Pavilion Inc
• Jupiter Medical Center Pavilion, Inc. (Lighthouse Detox)

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, 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 19, 2010; 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.