Organization Active NPI

Jaymed Inc.

  • Physiological Laboratory
  • Cooper City, FL
National Provider Identifier
1326026170
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
JAYMED INC.
Practice address
5846 South Flamingo Rd #163
Cooper City, FL 33330
Phone
(954) 448-2350
Fax
(954) 889-0003
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Mr. Craig Rubin
Title
Ceo
Phone
(954) 448-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

5846 South Flamingo Rd #163
Cooper City, FL 33330

Mailing address

5846 South Flamingo Rd #163
Cooper City, FL 33330
Phone (954) 889-0001

Other identifiers 1

IdentifierTypeStateIssuer
V1003OtherFLBLUE CROSS BLUE SHIELD FL

National Provider Directory

National Provider Directory

Locations

8854 W State Road 84
Davie, FL 33324
Phone (954) 424-4466

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1326026170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 SOUTH FLAMINGO RD #163",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-889-0001",
            "fax_number": "954-889-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 SOUTH FLAMINGO RD #163",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-448-2350",
            "fax_number": "954-889-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYMED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-448-2350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "V1003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.