Jerjuan Devar Toles, BSHSM, MSHA

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

5319 19TH Ave SW
Naples, FL 34116-5631

Phone

(239) 595-9040

Fax

(239) 330-7028

NPI assigned

Nov 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jerjuan Devar Toles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Toles Provider Services LLC

  • General Practice Physician
  • Naples, FL
  • NPI 1184385874

  Contractor

  NPD Authorized official

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1336805365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 19TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165631",
            "telephone_number": "239-595-9040",
            "fax_number": "239-330-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 19TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165631",
            "telephone_number": "239-595-9040",
            "fax_number": "239-330-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLES",
        "first_name": "JERJUAN",
        "middle_name": "DEVAR",
        "credential": "BSHSM, MSHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERJUAN",
            "last_name": "TOLES",
            "middle_name": "DEVAR",
            "credential": "BSHSM, MSHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Williams J Toledo
• Elvira P Tolentino, MD
• Serenity Toler
• Toles Provider Services LLC
• Eunice Jenny Toles, LPN, MA
• Irina Toma
• Vincent J Tomasetti, PT
• Mirjana Tomasevic, NP
• Gabriella Ann Tomic, SLP
• Emiliya Tomova

• Specialist in Naples, FL
• Providers in Naples, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.