Individual provider Active NPI

Jennyfer Paola Uzor, M.D

  • Pediatrics Physician
  • Coconut Creek, FL
National Provider Identifier
1356654750
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME152344 Issued in FL
Practice address
4651 N State Road 7 Ste 10
Coconut Creek, FL 33073-4378
Phone
(954) 866-5688
Fax
(954) 866-5682
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME152344 FL Primary

Addresses

Primary practice location

4651 N State Road 7 Ste 10
Coconut Creek, FL 33073-4378

Mailing address

4651 N State Road 7 Ste 10
Coconut Creek, FL 33073-4378

Other names 1

  • Dr. Jennyfer Paola Urena Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME152344FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegra Family Pediatrics, PLLC Pediatrics CurrentSince Oct 1, 2023 Accepting new patients
Briggs Family Pediatrics, PC Pediatrics Past Accepting new patients

Locations

4651 N State Road 7
Ste 10
Coconut Creek, FL 33073
Phone (954) 866-5688

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCCDD/Endpoint/JJCCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AICJAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1356654750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 N STATE ROAD 7 STE 10",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 N STATE ROAD 7 STE 10",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734378",
            "telephone_number": "954-866-5688",
            "fax_number": "954-866-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOR",
        "first_name": "JENNYFER",
        "middle_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME152344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNYFER",
            "last_name": "URENA",
            "middle_name": "PAOLA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.