Individual provider Active NPI

Jovenel Alcime

  • Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1467909523
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9285051 Issued in FL
Practice address
4312 N State Road 7
Lauderdale Lakes, FL 33319-4829
Phone
(954) 588-9245
NPI assigned
Sep 7, 2016
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9285051 FL Primary

Addresses

Primary practice location

4312 N State Road 7
Lauderdale Lakes, FL 33319-4829

Mailing address

2750 West Oakland Park Blvd.
Suite H
Fort Lauderdale, FL 33311-6588
Phone (954) 366-9865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726003959 FL Practitioner - Nurse Practitioner 8820368673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Medical Care, IncGroup PAC ID 9931464179, 2 clinicians

Practice addresses (Care Compare)

4312 N State Rd
Suite 7
Lauderdale Lakes, FL 33319-4829
Phone (954) 366-9865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9285051FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Medical Care, Inc CurrentSince Jan 10, 2017 Accepting new patients
Nursing Home Physicians PA CurrentSince Jul 18, 2017 Accepting new patients
Nursing Home Consultants LLC Past Accepting new patients

Locations

4312 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 306-6200

5300 East Ave
West Palm Beach, FL 33407
Phone (561) 227-5177

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1467909523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 WEST OAKLAND PARK BLVD.",
            "address_2": "SUITE H",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116588",
            "telephone_number": "954-366-9865",
            "fax_number": "844-478-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194829",
            "telephone_number": "954-588-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCIME",
        "first_name": "JOVENEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9285051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.