Organization Active NPI

Dr Jay R Newman PA

  • Primary Podiatric Medicine Podiatrist
  • Delray Beach, FL
National Provider Identifier
1437289451
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO 2131 Issued in FL
Legal business name
DR JAY R NEWMAN PA
Practice address
15340 Jog Rd
Ste 205
Delray Beach, FL 33446-2170
Phone
(561) 638-7600
Fax
(561) 638-6787
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Jay R Newman, DPMNPI 1417026121
Title
Ceo
Phone
(561) 638-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO2131 FL
Primary Podiatric Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213EP1101X PO 2131 FL Primary
Radiology PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ER0200X PO 2131 FL
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X PO 2131 FL

Addresses

Primary practice location

15340 Jog Rd
Ste 205
Delray Beach, FL 33446-2170

Mailing address

15340 Jog Road
Suite 205
Delray Beach, FL 33446-0000
Phone (561) 638-7600

Other identifiers 3

IdentifierTypeStateIssuer
34882OtherFLBCBS OF FL GRP #
340387400MedicaidFL
481117394OtherTRIWEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041101000233 FL Part B Supplier - Clinic/Group Practice 7113989351 Receives reassigned benefits from 4 practitioners
Practice locations: Boynton Beach, FL; Delray Beach, FL
O20150709000348 FL DME Supplier - Physician - Podiatry 7113989351 Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

4800 Linton Blvd
Ste D501
Delray Beach, FL 33445
Phone (561) 498-0036

15340 S Jog Rd
Ste 205
Delray Beach, FL 33446
Phone (561) 369-4455

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1437289451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 JOG ROAD",
            "address_2": "SUITE 205",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334460000",
            "telephone_number": "561-638-7600",
            "fax_number": "561-638-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 JOG RD",
            "address_2": "STE 205",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462170",
            "telephone_number": "561-638-7600",
            "fax_number": "561-638-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAY R NEWMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-638-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2131",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO 2131",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "FL",
            "license": "PO 2131",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 2131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF  FL GRP #",
            "identifier": "34882",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340387400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "481117394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.