Active NPI
Julio Cesar Dejardens, M.D.
- General Practice Physician
- Naples, FL
National Provider Identifier
1336397462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1065
- Practice address
- 5580 19TH CT. SW Unit 2
Naples, FL 34116 - Phone
- (239) 304-2471
- Fax
- (239) 304-2741
- NPI assigned
- Sep 3, 2008
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1065 | FL | Primary |
Addresses
Primary practice location
5580 19TH CT. SW Unit 2
Naples, FL 34116
Mailing address
5580 19TH CT. SW Unit 2
Naples, FL 34116
Phone (239) 304-2471
Other names 1
- Julio Cesar Dejardens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VKJ Associates Corp | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
5580 19th Ct SW
Ste 2
Naples, FL 34116
Phone (239) 304-2471
Organizations & group practices 2
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.
-
- Clinic/Center
- Naples, FL
- NPI 1447959028
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1336397462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 19TH CT. SW UNIT 2",
"city": "NAPLES",
"state": "FL",
"postal_code": "34116",
"telephone_number": "239-304-2471",
"fax_number": "239-304-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 19TH CT. SW UNIT 2",
"city": "NAPLES",
"state": "FL",
"postal_code": "34116",
"telephone_number": "239-304-2471",
"fax_number": "239-304-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJARDENS",
"first_name": "JULIO",
"middle_name": "CESAR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIO",
"last_name": "DEJARDENS",
"middle_name": "CESAR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.