Jupiter Primary Care Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JUPITER PRIMARY CARE GROUP INC

Practice address

210 Jupiter Lakes Blvd
Suite 105
Jupiter, FL 33458-7191

Phone

(561) 743-9077

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Baq Syed, MD

Title

President

Phone

(561) 386-6063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629280334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-743-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-743-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER PRIMARY CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "BAQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-386-6063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Pathology Consultants PL
• Jupiter Pediatric Associates, PA
• Jupiter Pediatric Dentistry, LLC
• Jupiter Physical Therapy
• Jupiter Primary Care Group Inc
• Jupiter Prosthodontics
• Jupiter Rehab and Health Center, LLC
• Jupiter Senior Living LLC
• Jupiter Senior Living, LLC
• Jupiter Smile Care Dentistry LLC

• Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.