Manor Medical Center Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME49891 Issued in FL

Legal business name

MANOR MEDICAL CENTER INC.

Practice address

1000 NW 10TH Ave
Fort Lauderdale, FL 33311-6137

Phone

(954) 728-9200

Fax

(954) 728-8660

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Yves Michel Antoine Jodesty Sr., MDNPI 1093877631

Title

Medical Doctor

Phone

(954) 728-9200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Yves Michel Antoine Jodesty, MD

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1093877631
  Medicare reassignment Authorized official
• Yves Jodesty Jr., M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1801258140
  Medicare reassignment NPD
• Rose Gisele Bazile

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1164388062
  NPD (past)
• Judeen Dian Burke

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1639651326

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1114228368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 10TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116101",
            "telephone_number": "954-728-9200",
            "fax_number": "954-728-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NW 10TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116137",
            "telephone_number": "954-728-9200",
            "fax_number": "954-728-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "JODESTY",
        "authorized_official_first_name": "YVES",
        "authorized_official_middle_name": "MICHEL ANTOINE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-728-9200",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Mann, DC
• Beena Mannattuparampil, PHARM.D.
• Jessica Manning
• Keely Mannoochahr
• Yahaira Manon, PMHNP-BC
• Manor Oaks SNF Operations LLC (Manor Oaks Center for Rehabilitation and Healing)
• Manor Oaks, Inc.
• Manor Pines SNF Operations LLC (Manor Pines Center for Rehabilitation and Healing)
• Manor Plaza Pediatric & General Medicine Inc. (Manor Plaza Pediatric and General Medicine)
• Nandra D. Mansaram, CRNA

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Feb 17, 2022; 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.