NPIMap

Individual provider Active NPI

Jean-Claude Nerette Jr., D.O.

  • Internal Medicine Physician
  • Weston, FL
National Provider Identifier
1316993470
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8589 Issued in FL
Practice address
2665 Executive Park Dr
Suite 3
Weston, FL 33331-3652
Phone
(954) 384-8989
Fax
(954) 384-8987
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS8589 FL Primary

Addresses

Primary practice location

2665 Executive Park Dr
Suite 3
Weston, FL 33331-3652

Mailing address

2665 Executive Park Dr
Suite 3
Weston, FL 33331-3652
Phone (954) 384-8989

Other identifiers 1

IdentifierTypeStateIssuer
264623400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000761 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 6204806169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Technological Radiology, PA Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
Texas Em-I Medical Services, PA Past Accepting new patients
Cintex Urgent Care Center LLC PastSince Jul 1, 2009 Accepting new patients
Doctors ER Services, Inc. Past Accepting new patients
E R Stat Inc PastSince Jun 25, 2023 Accepting new patients
Criticare Clinics Inc Past Accepting new patients
Calusa Emergency Physicians Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Rez Inc PastSince Oct 26, 2013 Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1316993470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 EXECUTIVE PARK DR",
            "address_2": "SUITE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313652",
            "telephone_number": "954-384-8989",
            "fax_number": "954-384-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 EXECUTIVE PARK DR",
            "address_2": "SUITE 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313652",
            "telephone_number": "954-384-8989",
            "fax_number": "954-384-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERETTE",
        "first_name": "JEAN-CLAUDE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264623400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.