Jeremy N Harris, M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JEREMY N HARRIS, M.D., P.A.

Practice address

3636 University Blvd S Ste B3
Jacksonville, FL 32216-4223

Phone

(904) 448-3387

Fax

(904) 512-5235

NPI assigned

Mar 10, 2019

Organization subpart

No

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

Authorized official

Name

Noorjahan Ali, MDNPI 1679888580

Title

Physician

Phone

(904) 861-1330

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Noorjahan Ali, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1679888580
  NPD Authorized official

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1609334515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 CESERY BLVD STE G",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115655",
            "telephone_number": "904-861-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S STE B3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164223",
            "telephone_number": "904-448-3387",
            "fax_number": "904-512-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 Cesery Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322115655",
            "country_code": "US",
            "telephone_number": "904-861-1330",
            "fax_number": "904-512-5235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEREMY N HARRIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-10",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "NOORJAHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-861-1330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055677700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@advancedpedcare.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "943 Cesery Blvd Ste G",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322115655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria Higgins Jensen, CRNA DNP
• Amy Jensen, CCC-SLP
• Matthew Hal Jenson, MD
• Jenten Care LLC
• Jeremiah'S Walk Home & Health Agency, LLC
• Jericho School for Children With Autism, Inc.
• Camika S Jerido
• Shantell Jerido
• Jerin Joseph OD, PA
• Kelsey Jernigan

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.