Organization Active NPI

Jersey Surgery, P.L.

  • Surgery Physician
  • Deerfield Beach, FL
National Provider Identifier
1184643322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JERSEY SURGERY, P.L.
Practice address
3467 W Hillsboro Blvd
Suite B
Deerfield Beach, FL 33442-9473
Phone
(954) 574-0252
Fax
(954) 429-1759
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia B Jahn
Title
Office Manager
Phone
(954) 574-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3467 W Hillsboro Blvd
Suite B
Deerfield Beach, FL 33442-9473

Mailing address

3467 W Hillsboro Blvd
Suite B
Deerfield Beach, FL 33442-9473
Phone (954) 574-0252

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184643322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 W HILLSBORO BLVD",
            "address_2": "SUITE B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429473",
            "telephone_number": "954-574-0252",
            "fax_number": "954-429-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 W HILLSBORO BLVD",
            "address_2": "SUITE B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429473",
            "telephone_number": "954-574-0252",
            "fax_number": "954-429-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SURGERY, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAHN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-574-0252",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.