Jeffrey Wisnicki, M.D., P.a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME 48094 Issued in FL

Legal business name

JEFFREY WISNICKI, M.D., P.A.

Practice address

13005 Southern Blvd
Suite 133
Loxahatchee, FL 33470-9206

Phone

(561) 798-1400

Fax

(561) 798-0255

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By 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. Jeffrey Wisnicki, M.D.NPI 1154406080

Title

President

Phone

(561) 798-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Jeffrey L Wisnicki, MD

  • Plastic and Reconstructive Surgery Physician
  • Loxahatchee, FL
  • NPI 1154406080
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1265865471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 133",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-1400",
            "fax_number": "561-798-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 133",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-1400",
            "fax_number": "561-798-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY WISNICKI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "WISNICKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-798-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME 48094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR INDIVIDUAL PRACTITIONER (JEFFREY  L. WISNICKI, M.D.)",
            "identifier": "1154406080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Jaramillo, PA-C
• Katherine Jasman
• Sandra Jean-Rene
• Marie Marlene Jean, NURSE PRACTITIONER
• Christian Jeannot, M.D./M.P.H.
• Jeune&Belle Medical Center and Spa
• Jfi Sports Medicine, LLC
• Jacqueline Jimenez-Ramos, PA-C
• Hee Jin
• JMR Therapy Inc

• Plastic and Reconstructive Surgery Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.