Organization 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
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 0053694 Issued in FL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000542 FL Part B Supplier - Clinic/Group Practice 9931384724 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.