Patrick Jouissance, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9112785 Issued in FL

Practice address

1295 NW 40TH Ave Ste 200
Lauderhill, FL 33313-5801

Phone

(954) 583-4710

Fax

(954) 583-4711

NPI assigned

Feb 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broward Community and Family Health Centers IncGroup PAC ID 9032170345, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Broward Community and Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, FL
  • NPI 1730121435
  Medicare reassignment Care Compare group
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1780080218

  FL

  Medicare reassignment
• Broward Community and Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, FL
  • NPI 1346094984
  NPD

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1154954287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 HOLLYWOOD BLVD # 5012,",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211330",
            "telephone_number": "954-266-2999",
            "fax_number": "954-966-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 NW 40TH AVE STE 200",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135801",
            "telephone_number": "954-583-4710",
            "fax_number": "954-583-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 SE 6th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334835306",
            "country_code": "US",
            "telephone_number": "954-686-6577",
            "fax_number": "954-245-0548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOUISSANCE",
        "first_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Joseph
• Marcina Mary Joseph, ARNP
• Martine Joseph
• Paulene Joseph
• Rufus Joseph, M.D.
• Jovals International Services LLC
• Jsme, LLC (The Healing Place, LLC)
• Phanor Jules
• Pierrette Jules, M.S.W., B.S.W.
• Derline Julien

• Physician Assistant in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
• 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.