Organization Active NPI

Jean Jacques Rajter, M.D.,P.a.

  • Specialist
  • Ft Lauderdale, FL
National Provider Identifier
1134519499
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME96997 Issued in FL
Legal business name
JEAN JACQUES RAJTER, M.D.,P.A.
Practice address
1001 S Andrews Ave
Suite 100
Ft Lauderdale, FL 33316-1015
Phone
(954) 906-6000
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Jessica Barona
Title
Office Manager
Phone
(954) 803-5440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME96997 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME97122 FL

Addresses

Primary practice location

1001 S Andrews Ave
Suite 100
Ft Lauderdale, FL 33316-1015

Mailing address

PO Box 350605
Ft Lauderdale, FL 33335-0605
Phone (954) 906-6000

Other identifiers 1

IdentifierTypeStateIssuer
278050000MedicaidFL

Other names 1

  • Pulmonary and Sleep Consultants Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150710001024 FL Part B Supplier - Clinic/Group Practice 2466764055 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

1001 S Andrews Ave
Ste 100
Ft Lauderdale, FL 33316
Phone (954) 906-6000

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1134519499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350605",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333350605",
            "telephone_number": "954-906-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S ANDREWS AVE",
            "address_2": "SUITE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161015",
            "telephone_number": "954-906-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN JACQUES RAJTER, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "BARONA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-803-5440"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME96997",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME97122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278050000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary and Sleep Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.