Organization Active NPI

JMR Medical Services Inc

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1174090245
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JMR MEDICAL SERVICES INC
Practice address
2501 E Commercial Blvd Ste 212
Fort Lauderdale, FL 33308-4127
Phone
(954) 990-6180
Fax
(954) 990-0173
NPI assigned
Oct 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Dr. Jean Rony Jean Mary, MD
Title
President
Phone
(954) 990-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2501 E Commercial Blvd Ste 212
Fort Lauderdale, FL 33308-4127

Mailing address

2501 E Commercial Blvd Ste 212
Fort Lauderdale, FL 33308-4127
Phone (954) 990-6180

Other identifiers 2

IdentifierTypeStateIssuer
000478400MedicaidFL
ME99092OtherFLMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190911003633 FL Part B Supplier - Clinic/Group Practice 7911236203 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1174090245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E COMMERCIAL BLVD STE 212",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084127",
            "telephone_number": "954-990-6180",
            "fax_number": "954-990-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E COMMERCIAL BLVD STE 212",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084127",
            "telephone_number": "954-990-6180",
            "fax_number": "954-990-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMR MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "JEAN MARY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "RONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-990-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000478400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME99092",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.