Active NPI
Suzanne Pavlou, M.D.
- Pediatrics Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 90011
- Practice address
- 1210 S. Old Dixie Hwy
Jupiter Medical Center
Jupiter, FL 33458 - Phone
- (561) 263-2234
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 90011 | FL | Primary |
| Pediatrics Physician | 208000000X | 01068644A | IN | |
| Pediatrics Physician | 208000000X | 25MA07348200 | NJ |
Addresses
Primary practice location
1210 S. Old Dixie Hwy
Jupiter Medical Center
Jupiter, FL 33458
Mailing address
1210 S Old Dixie Hwy
Jupiter Medical Center
Jupiter, FL 33458-7205
Phone (561) 263-2234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270305000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ, MI, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 90011 | FL | MD | Pediatrics Physician |
| 01068644A | IN | MD | Pediatrics Physician |
| 25MA07348200 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc. | Current | Accepting new patients | |
| Baptist Physician Associates LLC | Pediatrics | Current | Accepting new patients |
| Emergency Physician Services of New Jersey,Professional Association | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Pediatrics | Current | Accepting new patients |
| Atlantic Emergency Physician Team Pediatric Associates, P.C. | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Past | Accepting new patients |
Locations
1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
760 W Franklin St
Jackson, MI 49201
Phone (517) 205-1461
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- spavlou51166@direct.nemours.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Turnersville, NJ
- NPI 1700809092
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Pediatrics Physician
- Jackson, MI
- NPI 1891232740
-
- Physician Assistant
- Margate, FL
- NPI 1780959643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1669414355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 S OLD DIXIE HWY",
"address_2": "JUPITER MEDICAL CENTER",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587205",
"telephone_number": "561-263-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S. OLD DIXIE HWY",
"address_2": "JUPITER MEDICAL CENTER",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-263-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOU",
"first_name": "SUZANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 90011",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01068644A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07348200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270305000",
"state": "FL"
}
],
"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 Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.