Individual provider Active NPI

Jeffrey Bruce Neustadt, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1366430407
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
ME60369 Issued in FL
Practice address
924 Monterey PT NE
St Petersburg, FL 33704-2319
Phone
(727) 656-5410
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME60369 FL
Orthopaedic Surgery Physician 207X00000X ME60639 FL
Pediatric Orthopaedic Surgery Physician 207XP3100X ME60369 FL Primary

Addresses

Primary practice location

924 Monterey PT NE
St Petersburg, FL 33704-2319

Mailing address

924 Monterey PT NE
St Petersburg, FL 33704-2319
Phone (727) 656-5410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME60369FLMDPediatric Orthopaedic Surgery Physician
ME60639FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Children'S Orthopaedic & Scoliosis Surgery Associates, LLP Pediatric Orthopaedic Surgery CurrentSince Jul 1, 2013 Accepting new patients

Locations

625 6th Ave S
Ste 450
St Petersburg, FL 33701
Phone (727) 898-2663

880 6th St S
Ste 310
St Petersburg, FL 33701
Phone (727) 767-4257

3440 W Mlk Blvd
Ste 200
Tampa, FL 33607
Phone (813) 879-2663

2727 W Mlk Blvd
Ste 720
Tampa, FL 33607
Phone (813) 348-9688

Interoperability endpoints

  • Direct secure messaging: jneustadt188718@orlandohealth.medalliesdirect.net

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1366430407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MONTEREY PT NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042319",
            "telephone_number": "727-656-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MONTEREY PT NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042319",
            "telephone_number": "727-656-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSTADT",
        "first_name": "JEFFREY",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME60369",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME60639",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME60369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.