Active NPI
Jennifer Ann Savarese, M.D.
- Pediatrics Physician
- Jacksonville, FL
National Provider Identifier
1225099740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME90629
- Practice address
- 2606 Park St.
Jacksonville, FL 32204 - Phone
- (904) 388-4646
- Fax
- (904) 388-9017
- NPI assigned
- Apr 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME90629 | FL | Primary |
Addresses
Primary practice location
2606 Park St.
Jacksonville, FL 32204
Mailing address
2606 Park St.
Jacksonville, FL 32204
Phone (904) 388-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2730359-00 | Medicaid | FL |
Other names 1
- Ms. Jennifer Ann Chally
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141118002183 | FL | Order and Referring Only - Pediatric Medicine | 4284665381 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Past | Accepting new patients |
Interoperability endpoints
- jennifer.savarese.1@8042.direct.athenahealth.com
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1225099740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 PARK ST.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32204",
"telephone_number": "904-388-4646",
"fax_number": "904-388-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 PARK ST.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32204",
"telephone_number": "904-388-4646",
"fax_number": "904-388-9017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVARESE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME90629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2730359-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CHALLY",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.