Organization Active NPI

JBS Med PA

  • Plastic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1609164375
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
JBS MED PA
Practice address
5503 N Federal Hwy
Boca Raton, FL 33487-4043
Phone
(561) 393-8800
Fax
(561) 393-6202
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Andrew H Rosenthal, MDNPI 1134148455
Title
Owner
Phone
(561) 393-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

5503 N Federal Hwy
Boca Raton, FL 33487-4043

Mailing address

5503 N Federal Hwy
Boca Raton, FL 33487-4043
Phone (561) 393-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000074 FL Part B Supplier - Clinic/Group Practice 2466621388 Receives reassigned benefits from 2 practitioners
Practice locations: Boynton Beach, FL; Delray Beach, FL; Wellington, FL

National Provider Directory

National Provider Directory

Locations

9897 Hagen Ranch Rd
#4
Boynton Beach, FL 33437
Phone (561) 880-8866

9868 S State Road 7
Ste 330
Boynton Beach, FL 33472
Phone (561) 393-8800

Interoperability endpoints

  • FHIR API: https://drdrew.mmi.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1609164375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874043",
            "telephone_number": "561-393-8800",
            "fax_number": "561-393-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874043",
            "telephone_number": "561-393-8800",
            "fax_number": "561-393-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBS MED PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-393-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.