NPIMap

Organization Active NPI

Jupiter Internal Medicine Associates P a

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1659665156
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81918 Issued in FL
Legal business name
JUPITER INTERNAL MEDICINE ASSOCIATES P A
Practice address
600 University Blvd Ste 105
Jupiter, FL 33458-2778
Phone
(561) 748-1888
NPI assigned
Jun 2, 2011
Last updated
Feb 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Dr. Daniel L Boss, MDNPI 1417959123
Title
President
Phone
(561) 748-1888

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
Internal Medicine Physician 207R00000X ME81918 FL Primary

Addresses

Primary practice location

600 University Blvd Ste 105
Jupiter, FL 33458-2778

Mailing address

600 University Blvd Ste 105
Jupiter, FL 33458-2778
Phone (561) 748-1888

Other practice location 1

105 Ballenisles Cir
Palm Beach Gardens, FL 33418-3822
Phone (561) 622-0220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000255 FL Part B Supplier - Clinic/Group Practice 4981878519 Receives reassigned benefits from 11 practitioners
Practice locations: Jupiter, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2041825Jupiter Internal Medicine and Associates600 University Blvd, Ste 104 & 105, Jupiter, FL 33458Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Locations

108 Intracoastal Pointe Dr
Ste 100
Jupiter, FL 33477
Phone (561) 296-5225

600 University Blvd
#104105
Jupiter, FL 33458

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIAJBA

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1659665156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-748-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582778",
            "telephone_number": "561-748-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Ballenisles Cir",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334183822",
            "country_code": "US",
            "telephone_number": "561-622-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUPITER INTERNAL MEDICINE ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-748-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.