Active NPI
Jeffrey Bruce Neustadt, M.D.
- Pediatric Orthopaedic Surgery Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- ME60369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME60369 | FL | MD | Pediatric Orthopaedic Surgery Physician |
| ME60639 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Children'S Orthopaedic & Scoliosis Surgery Associates, LLP | Pediatric Orthopaedic Surgery | Current | 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
- 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.
-
- Pediatric Orthopaedic Surgery Physician
- St Petersburg, FL
- NPI 1184609851
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
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
- Neuropathy Global 001
- Neuropathy Global Pain Centers St Petersburg FL
- Neuroplasticity St. Pete LLC
- Neurosurgical Associates of Tampa Bay, Inc.
- Neurosurgical Medical Services
- Elena Neveux, O.D.
- New Beginnings Home Care LLC
- New Beginnings Medical Clinic, Inc.
- New Dawn Counseling and Therapy LLC
- New Life Nutrition & Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.