Individual provider Active NPI

Jay Kyle Ober, PHD, APRN

  • Adult Health Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1609056811
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9235643 Issued in FL
Practice address
1325 S Congress Ave Ste 109
Boynton Beach, FL 33426-5802
Phone
(561) 823-1020
Fax
(561) 708-4003
NPI assigned
Nov 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9235643 FL
Adult Health Nurse Practitioner 363LA2200X 9235643 FL Primary

Addresses

Primary practice location

1325 S Congress Ave Ste 109
Boynton Beach, FL 33426-5802

Mailing address

1325 S Congress Ave Ste 109
Boynton Beach, FL 33426-5802
Phone (561) 823-1020

Other practice location 1

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Other practice location 2

8190 S Jog Rd Ste 100
Boynton Beach, FL 33472-2911
Phone (561) 369-2144

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
I20221221000080 FL Practitioner - Nurse Practitioner 0547630246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9235643FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1609056811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE STE 109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265802",
            "telephone_number": "561-823-1020",
            "fax_number": "561-708-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE STE 109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265802",
            "telephone_number": "561-823-1020",
            "fax_number": "561-708-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5352 Linton Blvd",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846514",
            "country_code": "US",
            "telephone_number": "561-498-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8190 S Jog Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334722911",
            "country_code": "US",
            "telephone_number": "561-369-2144",
            "fax_number": "561-244-6135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBER",
        "first_name": "JAY",
        "middle_name": "KYLE",
        "credential": "PHD, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "9235643",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9235643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.