Active NPI
Daniel Igal Nuchovich,M.D., P.a.
Doing business as Jupiter Gardens Medical Center
- Primary Care Clinic/Center
- Jupiter, FL
National Provider Identifier
1376859744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME 0053694
- Legal business name
- DANIEL IGAL NUCHOVICH,M.D., P.A.
- Doing business as
- Jupiter Gardens Medical Center
- Practice address
- 175 Toney Penna Dr
Ste 101
Jupiter, FL 33458-5755 - Phone
- (561) 746-2033
- Fax
- (561) 744-5349
- NPI assigned
- Aug 24, 2010
- Last updated
- Feb 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ana I Nuchovich
- Title
- RN/ Office Manager
- Phone
- (561) 746-2033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME 0053694 | FL | Primary |
Addresses
Primary practice location
175 Toney Penna Dr
Ste 101
Jupiter, FL 33458-5755
Mailing address
175 Toney Penna Dr
101
Jupiter, FL 33458-5755
Phone (561) 746-2033
Other names 1
- Jupiter Gardens Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
175 Toney Penna Dr
Ste 101
Jupiter, FL 33458
Phone (561) 746-2033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Jupiter, FL
- NPI 1639198856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297987200000",
"number": "1376859744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 TONEY PENNA DR",
"address_2": "101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585755",
"telephone_number": "561-746-2033",
"fax_number": "561-744-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 TONEY PENNA DR",
"address_2": "STE 101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585755",
"telephone_number": "561-746-2033",
"fax_number": "561-744-5349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL IGAL NUCHOVICH,M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-24",
"last_updated": "2011-02-18",
"status": "A",
"authorized_official_last_name": "NUCHOVICH",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "RN/ OFFICE MANAGER",
"authorized_official_telephone_number": "561-746-2033",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME 0053694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jupiter Gardens Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.