Jessica R Themak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

698 NE 1St Ave Apt 3706
Miami, FL 33132-1831

Phone

(631) 461-2750

NPI assigned

Aug 30, 2012

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, DC, FL3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessicathemak@nslijmedgr.allscriptsdirect.net
• Direct secure messaging: jthemak73072@direct.msmc.com

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Emergency Medicine

  Medicare reassignment NPD
• Neurosurg LLC

  • Neurological Surgery Physician
  • Miami Beach, FL
  • NPI 1821021056
  Medicare reassignment
• Shi Keys LLC

  • Emergency Medicine Physician
  • Tavernier, FL
  • NPI 1952903536
  Medicare reassignment
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  DC

  Medicare reassignment
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• CMH Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • South Hill, VA
  • NPI 1235300104
  NPD (past)
• CMH ER Physicians, LLC

  • Emergency Medicine Physician
  • South Hill, VA
  • NPI 1942263991
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1477802965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 NE 1ST AVE APT 3706",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321831",
            "telephone_number": "631-461-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 NE 1ST AVE APT 3706",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321831",
            "telephone_number": "631-461-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEMAK",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2023-12-13",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "PA9114194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Aileen Theile Dominguez, RBT
• Lorenz Theiler, MD
• Kishore Thekke Adiyat, MD
• Patricia Thelisdor
• Nemie Thelot, ARNP
• Thembi Evans DDS PA
• Jessica Simon Thenor, BCBA
• Pauline Rozelle Theobalds, CNM
• Cassie Alda Theoc, PHARMD
• Theodore T. Lamotta Inc

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.