Active NPI
Jonathan Kudrowitz, PA-C
- Physician Assistant
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105136
- Practice address
- 6931 W Broward Blvd
Plantation, FL 33317-2902 - Phone
- (954) 321-5191
- Fax
- (954) 321-5192
- NPI assigned
- Dec 15, 2009
- Last updated
- Dec 15, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105136 | FL | Primary |
Addresses
Primary practice location
6931 W Broward Blvd
Plantation, FL 33317-2902
Mailing address
6385 Sweet Maple LN
Boca Raton, FL 33433-1934
Phone (561) 289-7661
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12227 Stonelake Ranch Blvd
Thonotosassa, FL 33592-3910
Phone (813) 943-3426
19108 Winslow Ter
Boca Raton, FL 33434-5546
Phone (561) 617-6624
4455 Medical Ctr Way
West Palm Beach, FL 33407-3244
Phone (561) 881-0066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relymd Virtual Health Regional, PC | Current | Accepting new patients | |
| Relymd Virtual Health Ca, PC | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Relymd Virtual Health TX, PA | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| U.S. Healthworks Medical Group of Florida, Inc. | Past | Accepting new patients | |
| Chiro Worx Injury Center Inc | Past | Accepting new patients |
Locations
1007 W Commercial Blvd
Ft Lauderdale, FL 33309
Phone (954) 564-2592
1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520
7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174
4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Pinecrest, FL
- NPI 1770719296
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Primary Care Clinic/Center
- Plantation, FL
- NPI 1801524459
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Valencia, CA
- NPI 1447230925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1265761548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6385 SWEET MAPLE LN",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334331934",
"telephone_number": "561-289-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6931 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172902",
"telephone_number": "954-321-5191",
"fax_number": "954-321-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDROWITZ",
"first_name": "JONATHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-15",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.