Individual provider Active NPI

Jennifer Morgan Watchmaker

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
National Provider Identifier
1285297366
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME183288 Issued in FL
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

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
390200000XMedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190919001457 NY Order and Referring Only - General SurgeryPractitioner - 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

Verify at the official NPI Registry.