Individual provider Active NPI

Jervon A Wright, MD, MPH

  • Hematology & Oncology Physician
  • Pembroke Pines, FL
National Provider Identifier
1417699539
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
TRN41842 Issued in FL
Practice address
703 N Flamingo Road
Graduate Medical Education, 2ND Floor
Pembroke Pines, FL 33028-3876
Phone
(954) 265-4463
NPI assigned
Apr 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X TRN41842 FL Primary

Addresses

Primary practice location

703 N Flamingo Road
Graduate Medical Education, 2ND Floor
Pembroke Pines, FL 33028-3876

Mailing address

703 N Flamingo Road
Graduate Medical Education, 2ND Floor
Manhasset, FL 33028-1006
Phone (954) 265-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250417000193 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5294250791
I20250704000022 FL Order and Referring Only - Hematology/OncologyPractitioner - Hematology/Oncology 5294250791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN41842FLMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1417699539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N FLAMINGO ROAD",
            "address_2": "GRADUATE MEDICAL EDUCATION, 2ND FLOOR",
            "city": "MANHASSET",
            "state": "FL",
            "postal_code": "330281006",
            "telephone_number": "954-265-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FLAMINGO ROAD",
            "address_2": "GRADUATE MEDICAL EDUCATION, 2ND FLOOR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283876",
            "telephone_number": "954-265-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JERVON",
        "middle_name": "A",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-09",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "TRN41842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.