Mudit Jain MD PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME75960 Issued in FL

Legal business name

MUDIT JAIN MD PA

Practice address

300 NW 70TH Ave
Suite 105
Plantation, FL 33317-2384

Phone

(954) 585-6292

Fax

(954) 585-6290

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Mudit JainNPI 1356305601

Title

MD

Phone

(954) 585-6292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 4

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.

• Mudit Jain, M.D.

  • Internal Medicine Physician
  • Plantation, FL
  • NPI 1356305601

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment Care Compare group NPD Authorized official
• Kirti Jain, RD

  • Registered Dietitian
  • Plantation, FL
  • NPI 1144604992
  Medicare reassignment Care Compare group NPD
• Todd Griffin, PA-C

  • Physician Assistant
  • Plantation, FL
  • NPI 1942898085
  NPD
• Jamie U Lenis

  • Family Nurse Practitioner
  • Miramar, FL
  • NPI 1194207175
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1114166733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-585-6292",
            "fax_number": "954-585-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 105",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-585-6292",
            "fax_number": "954-585-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDIT JAIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "MUDIT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-585-6292"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME75960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mrs Health, Inc.
• Mua Group of Florida, Inc.
• Yusuf Mufti, MD
• Lenny Mujica, L.C.S.W.
• Kay-Ann Mullings, PA-C
• Multi-Specialty Medical Consultants PLLC
• Jovan Muniz Gonzalez, DC

• Endocrinology, Diabetes & Metabolism Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.