Individual provider Active NPI

Jeffrey Harry Oppenheimer, MD

  • Neurological Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1124082755
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G55925 Issued in CA
Practice address
7805 NW Beacon Square Blvd Ste 103
Boca Raton, FL 33487-1396
Phone
(800) 964-4395
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 072598 GA
Neurological Surgery Physician 207T00000X 301111583 MI
Durable Medical Equipment & Medical Supplies 332B00000X
Neurological Surgery Physician 207T00000X G55925 CA Primary
Neurological Surgery Physician 207T00000X 40508 MN
Neurological Surgery Physician 207T00000X MD00046622 WA
Neurological Surgery Physician 207T00000X ME60083 FL
Neurological Surgery Physician 207T00000X 246231 NY
Neurological Surgery Physician 207T00000X 042414-L PA
Neurological Surgery Physician 207T00000X 25MA05469000 NJ

Addresses

Primary practice location

7805 NW Beacon Square Blvd Ste 103
Boca Raton, FL 33487-1396

Mailing address

7805 NW Beacon Square Blvd Ste 103
Boca Raton, FL 33487-1396
Phone (800) 964-4395

Other identifiers 3

IdentifierTypeStateIssuer
00G559250OtherCAMEDICAL NUMBER
1552089MedicaidLA
290895OtherCANMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, PA, NJ, WA, CA, NY, MN8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20180718002702 FL Practitioner - Neurosurgery 7517939739 Reassigns benefits to 1 organization
I20201123000674 MI Practitioner - NeurosurgeryPractitioner - NeurologyPractitioner - Pain Management 7517939739 Reassigns benefits to 5 organizations
I20201203001461 PA Practitioner - Neurosurgery 7517939739 Reassigns benefits to 1 organization
I20201203001796 NJ Practitioner - Neurosurgery 7517939739 Reassigns benefits to 1 organization
I20201203003072 WA Practitioner - Neurosurgery 7517939739 Reassigns benefits to 1 organization
I20201204001033 CA Practitioner - Neurosurgery 7517939739 Reassigns benefits to 1 organization
I20201214002685 NY Practitioner - Neurosurgery 7517939739 Reassigns benefits to 1 organization
I20201215001026 MN Practitioner - Neurosurgery 7517939739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Pain Management
Education
Georgetown University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2845 Capital Ave SW
Suite 202
Battle Creek, MI 49015-4186
Phone (269) 223-7045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G55925CAMDNeurological Surgery Physician
ME60083FLMDNeurological Surgery Physician
301111583MIMDNeurological Surgery Physician
25MA05469000NJMDNeurological Surgery Physician
246231NYMDNeurological Surgery Physician
042414-LPAMDNeurological Surgery Physician
MD00046622WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oppenheimer Spine & Pain Clinic, LLC Neurological Surgery CurrentSince Aug 4, 2020 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Dec 1, 2020 Accepting new patients
Tbdmi LLC Current Accepting new patients
Macomb Pain Management CurrentSince Jun 14, 2022 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Specialty Medical Center Inc CurrentSince Feb 24, 2024 Accepting new patients
Edson Medical Associates LLC CurrentSince Aug 1, 2021 Accepting new patients
Insulinic of Florida LLC Neurological Surgery CurrentSince Jan 1, 2023 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Sep 12, 2020 Accepting new patients
South Florida Spinal Neurosurgery Associates, LLC Neurological Surgery Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

7805 NW Beacon Square Blvd
Ste 103
Boca Raton, FL 33487
Phone (561) 620-0174

3700 Washington St
Ste 304
Hollywood, FL 33021
Phone (954) 820-5860

100 NW 170th St
Ste 411
North Miami Beach, FL 33169
Phone (305) 249-5666

2845 Capital Ave SW
Ste 202
Battle Creek, MI 49015
Phone (269) 223-7045

13530 Michigan Ave
Ste 400
Dearborn, MI 48126
Phone (313) 945-9188

13530 Michigan Ave
Ste 280
Dearborn, MI 48126
Phone (313) 476-3940

13530 Michigan Ave
Ste 110
Dearborn, MI 48126
Phone (248) 844-8281

28037 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 542-7500

8152 25 Mile Rd
Ste B
Shelby Township, MI 48316
Phone (248) 844-8281

5466 15 Mile Rd
Ste 101
Sterling Heights, MI 48310
Phone (248) 844-8281

44056 Mound Rd
Ste 105
Sterling Hts, MI 48314
Phone (586) 540-1094

5456 15 Mile Rd
Ste 101
Sterling Hts, MI 48310
Phone (313) 743-2300

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: southflspinalneurosurgeryassociates.jeffreyoppenheimer@155523.advancedmd-direct.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124082755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 NW BEACON SQUARE BLVD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871396",
            "telephone_number": "800-964-4395",
            "fax_number": "561-325-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 NW BEACON SQUARE BLVD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871396",
            "telephone_number": "800-964-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIMER",
        "first_name": "JEFFREY",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "072598",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "301111583",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G55925",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "40508",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00046622",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME60083",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "246231",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "042414-L",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA05469000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NUMBER",
            "identifier": "00G559250",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552089",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NMBE",
            "identifier": "290895",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.