Jennifer Marie Wade, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115997 Issued in FL

Practice address

4800 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-4611

Phone

(954) 688-7269

NPI assigned

Aug 16, 2012

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Florida Pediatric Associates LLC

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1053346718
  Medicare reassignment
• Florida Pediatric Associates, LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1447553805
  NPD

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1134477490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E PIGEON PLUM DR APT 108",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587867",
            "telephone_number": "908-565-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084611",
            "telephone_number": "954-688-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115997",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reza Voosoughi, MD
• VR Counseling Inc.
• W R Rosen Inc (Restore OPC)
• Nathalie Sofi Wacher, MD
• Susan Wade-Infanzon, L.C.S.W.
• Thomas Wade, M.D.
• Carol Ann Wadelam
• Perminder Wadhwa, DDS
• Wael Z Tamim M D P a
• Rajesh Waghmode

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.