In the Image of Christ Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IN THE IMAGE OF CHRIST INC

Practice address

3090 Avenue G
Fort Pierce, FL 34947-5912

Phone

(772) 461-7788

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Jeff Hertz

Title

Administrator

Phone

(917) 359-5549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Juan Carlos Rondon, MD

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1245284181

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1447007448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 AVENUE G",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475912",
            "telephone_number": "772-461-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 AVENUE G",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475912",
            "telephone_number": "772-461-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN THE IMAGE OF CHRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "917-359-5549"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rhey Emmanuel Infante, APRN
• Infectious Disease Consultants, LLC
• Infinity Healthcare Fort Pierce LLC
• Felicia Gail Ingram, BS HUMAN SERVICES
• Inner Reins Counseling, LLC

• All providers in Fort Pierce, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.