Individual provider Active NPI

Jodee Freiman, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1568717536
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106479 Issued in FL
Practice address
4161 NW 5TH St Ste 100
Plantation, FL 33317-2101
Phone
(954) 585-3800
Fax
(954) 585-6100
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9106479 FL
Surgical Physician Assistant 363AS0400X PA9106479 FL
Physician Assistant 363A00000X PA9106479 FL Primary

Addresses

Primary practice location

4161 NW 5TH St Ste 100
Plantation, FL 33317-2101

Mailing address

1599 SW 5TH Ave
Boca Raton, FL 33432-7224
Phone (954) 290-8045

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
I20130912000760 FL Practitioner - Physician Assistant 4880838895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians
Adam S Plotkin MD PAGroup PAC ID 9739166208, 11 clinicians

Practice addresses (Care Compare)

1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone (561) 241-6676

1200 Arthur St
Hollywood, FL 33019-3118
Phone (561) 241-6676

1200 S 15TH St
Fernandina Beach, FL 32034-3056
Phone (561) 241-6676

1290 N Federal Hwy
Fort Lauderdale, FL 33304-1481
Phone (877) 345-5300

1371 S Ocean Blvd
Pompano Beach, FL 33062-7130
Phone (561) 241-6676

14555 Sims Rd
Delray Beach, FL 33484-8547
Phone (561) 241-6676

1613 SW 3Rd St
Boynton Beach, FL 33435-6601
Phone (561) 241-6676

2000 Lowson Blvd
Delray Beach, FL 33445-6008
Phone (561) 241-6676

22601 Comino del Mar
Five Star Premier Residences of Boc
Boca Raton, FL 33433-6516
Phone (561) 241-6676

23305 Blue Water Circle
Boca Raton, FL 33433-7053
Phone (561) 241-6676

2701 N Course Dr
Pompano Beach, FL 33069-3058
Phone (561) 241-6676

2777 NE 183Rd St
North Miami Beach, FL 33160-2165
Phone (561) 241-6676

2794 S Flamingo Rd
Artis Senior Living of Davie
Davie, FL 33330-1304
Phone (877) 345-5300

3001 Deer Creek Country Club Blvd
Deerfield Beach, FL 33442-8438
Phone (561) 241-6676

5100 W Hallandale Beach Blvd
Hollywood, FL 33023-7005
Phone (561) 241-6676

5210 Linton Blvd
Suite 307
Delray Beach, FL 33484-6500
Phone (561) 499-0660

5300 W 16 Ave
Hialeah, FL 33012-2104
Phone (561) 241-6676

5500 NW 69TH Ave
A
Fort Lauderdale, FL 33319-7266
Phone (561) 241-6676

5770 Stirling Rd
Hollywood, FL 33021-1549
Phone (561) 241-6676

5910 N Federal Hwy
Boca Raton, FL 33487-3935
Phone (561) 241-8676

6152 N Verde Trail
Boca Raton, FL 33433-2430
Phone (561) 241-6676

623 S Federal Hwy
Boynton Beach, FL 33435-4935
Phone (877) 345-5300

6855 NW 70 Ave
Tamarac, FL 33321-5326
Phone (877) 345-5300

7501 NW 76TH St
Parkside Tamarac
Tamarac, FL 33321-5107
Phone (877) 345-5300

7650 N University Dr
Tamarac, FL 33321-2967
Phone (877) 345-5300

Hospital & facility affiliations

  • The Palace at Home Home health agency, Weston, FL, CCN 108257

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106479FLMDPhysician Assistant

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1568717536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 SW 5TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327224",
            "telephone_number": "954-290-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST STE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172101",
            "telephone_number": "954-585-3800",
            "fax_number": "954-585-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIMAN",
        "first_name": "JODEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106479",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106479",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.