Organization Active NPI

Palm Beach Kidney Specialists, Inc.

  • Nephrology Physician
  • Greenacres, FL
National Provider Identifier
1144136771
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PALM BEACH KIDNEY SPECIALISTS, INC.
Practice address
4519 Lake Worth Rd
Greenacres, FL 33463-3449
Phone
(561) 709-8850
NPI assigned
Aug 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Authorized official

Name
Jamie Andre, MD
Title
Owner
Phone
(347) 392-7208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

4519 Lake Worth Rd
Greenacres, FL 33463-3449

Mailing address

PO Box 540292
Greenacres, FL 33454-0292
Phone (347) 392-7208

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787356800000",
    "number": "1144136771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540292",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334540292",
            "telephone_number": "347-392-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633449",
            "telephone_number": "561-709-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH KIDNEY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-392-7208",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.