Individual provider Active NPI

Joseph Jude Evens Vincent, FNP-BC

  • Family Nurse Practitioner
  • Margate, FL
National Provider Identifier
1568876191
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9340100 Issued in FL
Practice address
5100 Coconut Creek Pkwy
Margate, FL 33063-3913
Phone
(954) 281-7700
Fax
(954) 715-7603
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338725-1 NY
Family Nurse Practitioner 363LF0000X 9340100 FL Primary

Addresses

Primary practice location

5100 Coconut Creek Pkwy
Margate, FL 33063-3913

Mailing address

5100 Coconut Creek Pkwy
Margate, FL 33063-3913
Phone (954) 281-7700

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
I20141205001782 FL Practitioner - Nurse Practitioner 2264754076 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9340100FLMDFamily Nurse Practitioner
F338725-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ultra Medical LLC CurrentSince Jul 2, 2020 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 354-4840

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

5100 Coconut Creek Pkwy
Margate, FL 33063
Phone (954) 281-7700

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

20801 NW 2nd Ave
Miami Gardens, FL 33169

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

10350 Pines Blvd
Ste D103
Pembroke Pines, FL 33026
Phone (954) 715-5100

321 W Atlantic Blvd
Ste 102
Pompano Beach, FL 33060
Phone (954) 781-3122

750 E Sample Rd
Ste 3-6
Pompano Beach, FL 33064
Phone (954) 943-1358

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.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1568876191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 COCONUT CREEK PKWY",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633913",
            "telephone_number": "954-281-7700",
            "fax_number": "954-715-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 COCONUT CREEK PKWY",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633913",
            "telephone_number": "954-281-7700",
            "fax_number": "954-715-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JOSEPH",
        "middle_name": "JUDE EVENS",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338725-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9340100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.