Organization Active NPI

Jessica Okun, DO LLC

  • Neurological Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1245073840
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
JESSICA OKUN, DO LLC
Practice address
1625 SE 3Rd Ave Ste 415C
Ft Lauderdale, FL 33316-2521
Phone
(954) 599-6373
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Authorized official

Name
Dr. Jessica Okun, DONPI 1790098788
Title
President
Phone
(954) 599-5373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1625 SE 3Rd Ave Ste 415C
Ft Lauderdale, FL 33316-2521

Mailing address

301 N Gordon Rd
Ft Lauderdale, FL 33301-3775
Phone (954) 599-6373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240806000050 FL Part B Supplier - Clinic/Group Practice 0547707796 Receives reassigned benefits from 2 practitioners
Practice locations: Ft Lauderdale, FL; Plantation, FL
O20250702000008 FL DME Supplier - Physician - Neurosurgery 0547707796 Practice locations: Plantation, FL

National Provider Directory

National Provider Directory

Locations

1625 SE 3rd Ave
Ste 415C
Ft Lauderdale, FL 33316
Phone (954) 599-6373

301 NW 84th Ave
Ste 206
Plantation, FL 33324
Phone (954) 653-3722

Practitioners & affiliated clinicians

Practitioners 3

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": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1245073840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N GORDON RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013775",
            "telephone_number": "954-599-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 415C",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-599-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA OKUN, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "OKUN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-599-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; 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.