Active NPI
Jay R. Pechter, M.D.
- Ophthalmology Physician
- Boynton Beach, FL
National Provider Identifier
1295774362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 39614
- Practice address
- 1880 N Congress Ave
Suite 309
Boynton Beach, FL 33426-8671 - Phone
- (561) 733-2388
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 39614 | FL | Primary |
Addresses
Primary practice location
1880 N Congress Ave
Suite 309
Boynton Beach, FL 33426-8671
Mailing address
1880 N Congress Ave
Suite 309
Boynton Beach, FL 33426-8671
Phone (561) 733-2388
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081111000624 | FL | Practitioner - Ophthalmology | 6406915057 | Practice locations: Boynton Beach, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39614 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1295774362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 N CONGRESS AVE",
"address_2": "SUITE 309",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268671",
"telephone_number": "561-733-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 N CONGRESS AVE",
"address_2": "SUITE 309",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268671",
"telephone_number": "561-733-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECHTER",
"first_name": "JAY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "39614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.