Kenneth S. Jaffe, M.D., P.a.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

KENNETH S. JAFFE, M.D., P.A.

Practice address

10301 Hagen Ranch Rd
Suite B-550
Boynton Beach, FL 33437-3724

Phone

(561) 374-8677

Fax

(561) 374-8796

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Scott Jaffe, M.D.NPI 1174507529

Title

President

Phone

(561) 439-0308

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Kenneth S Jaffe MD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Kenneth S Jaffe MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlantis, FL
  • NPI 1235326471
  NPD tax ID
• Kenneth S. Jaffe, M.D., P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lake Worth, FL
  • NPI 1518210814
  NPD tax ID
• Kenneth S. Jaffe, MD, PA

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1295037786
  NPD tax ID

Practitioners 1

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

• Kenneth Scott Jaffe, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlantis, FL
  • NPI 1174507529
  NPD (past) Authorized official

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1629227269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JFK DR",
            "address_2": "SUITE 134",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-439-0308",
            "fax_number": "561-439-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD",
            "address_2": "SUITE B-550",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373724",
            "telephone_number": "561-374-8677",
            "fax_number": "561-374-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S. JAFFE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-439-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260146000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "269348",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110233181",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "97340",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Kelly
• Jennifer Alexander Kendricks, PA-C
• John Francis Kennedy, MOT, OTR/L
• Kenneth Allen Kasten MD PA
• Kenneth E Bresky DO PA
• Natalie Kenton, CPHT
• Carolyn Kern, P.T.
• Debra Karen Kerr, ARNP
• Matthew Stirling Kerr, MD
• Ronald Kertes, D.D.S.

• Geriatric Medicine (Internal Medicine) Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.