Jerome B. Vincente M.D.P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0045602 Issued in FL

Legal business name

JEROME B. VINCENTE M.D.P.A.

Practice address

115 JFK Drive
Atlantis, FL 33462-1119

Phone

(561) 967-2200

Fax

(561) 967-0858

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Jerome B Vincente, M.D.NPI 1811930720

Title

Owner

Phone

(561) 967-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome B. Vincente, M.D.

  • Hospitalist Physician
  • Atlantis, FL
  • NPI 1811930720

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1407288152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JFK DRIVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-967-2200",
            "fax_number": "561-967-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JFK DRIVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-967-2200",
            "fax_number": "561-967-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME B. VINCENTE M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "VINCENTE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-967-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0045602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259247900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reena Jain, M.D.
• Jaime Lynne Jansen, ARNP
• Herold Jean Francois, APRN
• Jennifer C Jean, APRN
• Jem Research, LLC
• JFK Internal Medicine Faculty Practice, LLC
• JFK Medical Center Limited Partnership
• JFK Medical Center Limited Partnership
• Alejandro Jimenez Restrepo, MD
• Marcelo Andres Jimenez, M.D.

• Internal Medicine Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.