Jupiter Medical Group P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JUPITER MEDICAL GROUP P A

Practice address

601 University Blvd
Suite 204
Jupiter, FL 33458-2788

Phone

(561) 746-2411

Fax

(561) 354-0012

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Rajendra K. Bansal

Title

MD

Phone

(561) 746-2411

Specialties & licenses 1

Addresses

Tax ID family

Jupiter Medical Group P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Jupiter Medical Group P a

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1235313917
  NPD tax ID
• Jupiter Medical Group P a

  • Internal Medicine Physician
  • Belle Glade, FL
  • NPI 1902080674
  NPD tax ID

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1649454752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-746-2411",
            "fax_number": "561-354-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 204",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-746-2411",
            "fax_number": "561-354-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER MEDICAL GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-746-2411"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Medical Center Physicians Group Inc
• Jupiter Medical Center Physicians Group Inc
• Jupiter Medical Center, Inc.
• Jupiter Medical Detox LLC
• Jupiter Medical Group P a
• Jupiter Medical Group P a
• Jupiter Orthodontics Inc
• Jupiter Orthopaedic Partners LLC
• Jupiter Orthopedics and Sports Medicine PLLC
• Jupiter Outpatient Surgery Center LLC

• All providers in Jupiter, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.