Organization Active NPI

Josephine V Jasper MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Marco Island, FL
National Provider Identifier
1154837680
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME128241 Issued in FL
Legal business name
JOSEPHINE V JASPER MD PA
Practice address
40 S Heathwood Dr Ste E
Marco Island, FL 34145-5026
Phone
(239) 315-8271
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Dr. Josephine V Jasper, MDNPI 1962571752
Title
President
Phone
(973) 768-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME128241 FL Primary

Addresses

Primary practice location

40 S Heathwood Dr Ste E
Marco Island, FL 34145-5026

Mailing address

1904 Sheffield Ave
Marco Island, FL 34145-6703
Phone (973) 768-4944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502001805 FL Part B Supplier - Clinic/Group Practice 2961766753 Receives reassigned benefits from 1 practitioner
Practice locations: Marco Island, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2142197Josephine V Jasper MD PA40 S Heathwood Drive, Marco Island, FL 34145Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Locations

700 2nd Ave N
Ste 204
Naples, FL 34102
Phone (239) 263-2200

Practitioners & affiliated clinicians

Practitioners 1

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": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1154837680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 SHEFFIELD AVE",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341456703",
            "telephone_number": "973-768-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S HEATHWOOD DR STE E",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341455026",
            "telephone_number": "239-315-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE V JASPER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-768-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME128241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.