Organization Active NPI

Jerry F Ondrusek MD PA

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1356544795
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME69418 Issued in FL
Legal business name
JERRY F ONDRUSEK MD PA
Practice address
2817 E Oakland Park Blvd
Suite 100
Fort Lauderdale, FL 33306-1889
Phone
(954) 302-3750
Fax
(954) 343-1016
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Jaroslav F Ondrusek, MDNPI 1396799383
Title
President
Phone
(954) 343-1016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME69418 FL Primary

Addresses

Primary practice location

2817 E Oakland Park Blvd
Suite 100
Fort Lauderdale, FL 33306-1889

Mailing address

2598 NW 27TH St
Boca Raton, FL 33434-3654
Phone (954) 302-3750

National Provider Directory

National Provider Directory

Locations

2817 E Oakland Park Blvd
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 302-3750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1356544795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 NW 27TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343654",
            "telephone_number": "954-302-3750",
            "fax_number": "954-343-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 E OAKLAND PARK BLVD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061889",
            "telephone_number": "954-302-3750",
            "fax_number": "954-343-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY F ONDRUSEK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ONDRUSEK",
        "authorized_official_first_name": "JAROSLAV",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-343-1016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME69418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.