Active NPI
Palm Beach Kidney Specialists, Inc.
- Nephrology Physician
- Greenacres, FL
National Provider Identifier
1144136771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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 DirectoryNPI 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.