NPIMap

Individual provider Active NPI

Jonathan Lazaro Mollineda, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lauderdale Lakes, FL
National Provider Identifier
1235768805
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4362 Issued in FL
Practice address
2951 NW 49TH Ave Ste 204
Lauderdale Lakes, FL 33313-1608
Phone
(754) 296-5900
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4362 FL Primary

Addresses

Primary practice location

2951 NW 49TH Ave Ste 204
Lauderdale Lakes, FL 33313-1608

Mailing address

2951 NW 49TH Ave Ste 204
Lauderdale Lakes, FL 33313-1608
Phone (754) 296-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230228000141 FL Practitioner - Podiatry 6608249370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2951 NW 49TH Ave
Suite 204
Lauderdale Lakes, FL 33313-1608
Phone (754) 296-5900

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of nail tissue26
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knock Your Socks Off Foot & Ankle Specialist LLC Foot & Ankle Surgery CurrentSince Jan 25, 2023 Accepting new patients
Sunshine Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Apr 28, 2023 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2951 NW 49th Ave
Ste 204
Lauderdale Lakes, FL 33313
Phone (754) 296-5900

150 NW 168th St
Ste 303
North Miami Beach, FL 33169
Phone (786) 298-5861

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1235768805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 204",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131608",
            "telephone_number": "754-296-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 204",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131608",
            "telephone_number": "754-296-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLINEDA",
        "first_name": "JONATHAN",
        "middle_name": "LAZARO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.