Kenneth S Jaffe MD PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

KENNETH S JAFFE MD PA

Practice address

130 John F Kennedy Drive
Suite 134
Atlantis, FL 33462

Phone

(561) 439-0308

Fax

(561) 439-0371

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Scott Jaffe, M.D.NPI 1174507529

Title

Doctor President

Phone

(561) 439-0308

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Kenneth S Jaffe MD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Kenneth S. Jaffe, M.D., P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lake Worth, FL
  • NPI 1518210814
  NPD tax ID
• Kenneth S. Jaffe, M.D., P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Boynton Beach, FL
  • NPI 1629227269
  NPD tax ID
• Kenneth S. Jaffe, MD, PA

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1295037786
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Scott Jaffe, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlantis, FL
  • NPI 1174507529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1235326471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JFK DRIVE",
            "address_2": "SUITE 134",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-439-0308",
            "fax_number": "561-439-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DRIVE",
            "address_2": "SUITE 134",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-439-0308",
            "fax_number": "561-439-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S JAFFE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR PRESIDENT",
        "authorized_official_telephone_number": "561-439-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "269348",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110233181",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260146000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "97340",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Lynn Karlecke, CRNA
• Srinivas Kaza, MD
• Steven Bradley Keehn, D.O.
• Brian Kelly, MD
• Alan Kelman, DDS
• Kenneth S. Jaffe, MD, PA
• Abrar Khan, DO
• Moiz Aftab Khan, MD
• Samir Khouzam
• Kidney and Hypertension of the Palm Beaches PLLC

• Geriatric Medicine (Internal Medicine) Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.