Active NPI
Jennifer Philogene, PA-C
- Medical Physician Assistant
- Jupiter, FL
National Provider Identifier
1538798152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9112578
- Practice address
- 4600 Military TRL
Jupiter, FL 33458-4810 - Phone
- (562) 625-9695
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9112578 | FL | Primary |
Addresses
Primary practice location
4600 Military TRL
Jupiter, FL 33458-4810
Mailing address
1127 Royal Palm Beach Blvd # 371
Royal Palm Beach, FL 33411-1641
Phone (561) 291-6324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112578 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1538798152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 ROYAL PALM BEACH BLVD # 371",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111641",
"telephone_number": "561-291-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MILITARY TRL",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584810",
"telephone_number": "562-625-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILOGENE",
"first_name": "JENNIFER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9112578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
- Pharmacy at Abacoa Inc
- Pharmacy at Abacoa, Inc.
- Pharmacy Distributor Services, Inc,.
- Jean L Philbin
- Randie Lee Phillips, MS-SLP
- Ronald D Philogene, APRN
- Virginia Christine Phipps, DO
- Physical Therapy Institute and Aquatic Rehab, Inc
- Physical Therapy Institute and Aquatic Rehab, Inc.
- Physicians Ekg Reading Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.