NPIMap

Organization Active NPI

Jupiter Medical Center Physicians Group Inc

  • Pediatric Surgery Physician
  • Jupiter, FL
National Provider Identifier
1093344376
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
JUPITER MEDICAL CENTER PHYSICIANS GROUP INC
Practice address
1002 S Old Dixie Hwy Ste 101
Jupiter, FL 33458-7202
Phone
(561) 852-0038
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Amy J Barton
Title
Manager, Managed Care
Phone
(561) 263-7411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0120X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

1002 S Old Dixie Hwy Ste 101
Jupiter, FL 33458-7202

Mailing address

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-7411

Other practice location 1

1002 S Old Dixie Hwy Ste 303
Jupiter, FL 33458-7202
Phone (561) 263-5530

Other names 1

  • JMC COMMUNITY CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000637 FL Part B Supplier - Clinic/Group Practice 4284797069 Receives reassigned benefits from 274 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Palm Beach, FL; Stuart, FL; Palm Beach Gardens, FL; Loxahatchee, FL; Lake Worth, FL; Jupiter, FL; Boynton Beach, FL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jupiter Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 Jupiter Lakes Blvd
Ste 3203
Jupiter, FL 33458
Phone (561) 263-5571

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1240 S Old Dixie Hwy
Ste 201
Jupiter, FL 33458
Phone (561) 744-8202

210 Jupiter Lakes Blvd
Ste 203204
Jupiter, FL 33458
Phone (561) 745-6950

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2854 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-0953

399 Tequesta Dr
Ste 102
Tequesta, FL 33469
Phone (561) 747-5533

3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385

Practitioners & affiliated clinicians

Practitioners 262

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 262

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1093344376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-263-7411",
            "fax_number": "561-263-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-852-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 S Old Dixie Hwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587202",
            "country_code": "US",
            "telephone_number": "561-263-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUPITER MEDICAL CENTER PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER, MANAGED CARE",
        "authorized_official_telephone_number": "561-263-7411"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMC COMMUNITY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 7, 2020; 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.

Verify at the official NPI Registry.