Jupiter Medical Group P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0049954 Issued in FL

Legal business name

JUPITER MEDICAL GROUP P A

Practice address

875 Military TRL
Suite 208
Jupiter, FL 33458-5700

Phone

(561) 746-2411

Fax

(561) 745-7333

NPI assigned

Feb 16, 2012

Last updated

Feb 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajendra L Bansal, M.D.

Title

Medical Director

Phone

(561) 746-2411

Specialties & licenses 3

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonardo Bejarano, P.A.-C

  • Physician Assistant
  • Jupiter, FL
  • NPI 1881638104
  NPD
• Kevin Andrew Wilkes, PA-C

  • Medical Physician Assistant
  • Jupiter, FL
  • NPI 1801085881
  NPD
• Brandon David Workman, PA-C

  • Medical Physician Assistant
  • Davie, FL
  • NPI 1598218026
  NPD
• Rajendra K Bansal, MD

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1285627885
  NPD (past)

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1225301526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-746-2411",
            "fax_number": "561-745-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 208",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-746-2411",
            "fax_number": "561-745-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER MEDICAL GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-746-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049954",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0076025",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0049954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Medical Center Physicians Group (Jupiter Medical Center Urgent Care)
• Jupiter Medical Center Physicians Group Inc (JMC Community Care)
• Jupiter Medical Center Physicians Group Inc
• Jupiter Medical Center, Inc.
• Jupiter Medical Detox LLC
• Jupiter Medical Group P a
• Jupiter Medical Group P a
• Jupiter Orthodontics Inc
• Jupiter Orthopaedic Partners LLC
• Jupiter Orthopedics and Sports Medicine PLLC

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.