Individual provider Active NPI

Steven D Jaffe, DPM

  • Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1174549216
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P01445 Issued in FL
Practice address
1325 S Congress Ave
#108
Boynton Beach, FL 33426-5802
Phone
(561) 734-3960
Fax
(561) 734-2811
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 213ES0103X FL
Podiatrist 213E00000X P01445 FL Primary

Addresses

Primary practice location

1325 S Congress Ave
#108
Boynton Beach, FL 33426-5802

Mailing address

1325 S Congress Ave
#108
Boynton Beach, FL 33426-5802
Phone (561) 734-3960

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000097 FL Practitioner - Podiatry 6305744947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desiree Garzon, DPM PAGroup PAC ID 2961731914, 3 clinicians

Practice addresses (Care Compare)

1325 S Congress Ave
Suite 108
Boynton Beach, FL 33426-5802
Phone (561) 734-3960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue661
Removal of nail tissue1-10
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1445FLMDAcupuncturist
P01445FLMDPodiatrist
213ES0103XFLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Desiree Garzon, DPM, PA Foot & Ankle Surgery CurrentSince Jan 1, 2020 Accepting new patients

Locations

1325 S Congress Ave
Ste 108
Boynton Beach, FL 33426
Phone (561) 369-3300

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1174549216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "#108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265802",
            "telephone_number": "561-734-3960",
            "fax_number": "561-734-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "#108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265802",
            "telephone_number": "561-734-3960",
            "fax_number": "561-734-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "213ES0103X",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P01445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.