Active NPI
Jennifer Morgan Watchmaker
- Vascular & Interventional Radiology Physician
- Miami Beach, FL
National Provider Identifier
1285297366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME183288
- Practice address
- 4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893 - Phone
- (305) 674-2950
- Fax
- (305) 674-2749
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME183288 | FL | Primary |
Addresses
Primary practice location
4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893
Mailing address
4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893
Phone (305) 674-2950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190919001457 | NY | Order and Referring Only - General Surgery | 9133459076 |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Vanderbilt University School of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18181 SW 83Rd CT
Palmetto Bay, FL 33157-6176
PO Box
Suite 10550
Miami, FL 33101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1285297366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 ALTON RD STE 810",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402893",
"telephone_number": "305-674-2950",
"fax_number": "305-674-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 ALTON RD STE 810",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402893",
"telephone_number": "305-674-2950",
"fax_number": "305-674-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATCHMAKER",
"first_name": "JENNIFER",
"middle_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME183288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390200000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.