Active NPI
Jay Allen Spinka, PA-C
- Medical Physician Assistant
- Lake Worth, FL
National Provider Identifier
1548223134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9101432
- Practice address
- 2290 10TH Ave N Ste 401
Lake Worth, FL 33461-6609 - Phone
- (561) 284-8455
- NPI assigned
- Apr 6, 2006
- Last updated
- May 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | PA9101432 | FL | Primary |
Addresses
Primary practice location
2290 10TH Ave N Ste 401
Lake Worth, FL 33461-6609
Mailing address
6415 Lake Worth Rd Ste 302
Greenacres, FL 33463-2906
Other practice location 1
3335 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4311
Phone (561) 570-2501
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101432 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vero Beach Surgery Center LLC | Past | Accepting new patients | |
| Omar David Hussamy MD PA | Past | Accepting new patients |
Interoperability endpoints
- jay.spinka.1@25843.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Boca Raton, FL
- NPI 1366065328
-
- Orthopaedic Surgery Physician
- Vero Beach, FL
- NPI 1780635557
-
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
- NPI 1265484851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1548223134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 LAKE WORTH RD STE 302",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334632906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 10TH AVE N STE 401",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334616609",
"telephone_number": "561-284-8455"
}
],
"practiceLocations": [
{
"address_1": "3335 Burns Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334104311",
"country_code": "US",
"telephone_number": "561-570-2501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPINKA",
"first_name": "JAY",
"middle_name": "ALLEN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.