Individual provider Active NPI

Jennifer Nicole Kaszubski, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1679083919
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9110648 Issued in FL
Practice address
2700 W Cypress Creek Rd Ste C100
Fort Lauderdale, FL 33309-1741
Phone
(954) 974-3111
Fax
(954) 974-6191
NPI assigned
Sep 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110648 FL
Medical Physician Assistant 363AM0700X PA9110648 FL Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd Ste C100
Fort Lauderdale, FL 33309-1741

Mailing address

9632 Waterview Way
Parkland, FL 33076-2898
Phone (845) 258-7356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180227003147 FL Practitioner - Physician Assistant 2062773468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Palm Beach Physicians and Urgent Care IncGroup PAC ID 1153314901, 26 clinicians

Practice addresses (Care Compare)

2700 W Cypress Creek Rd
Suite C100
Fort Lauderdale, FL 33309-1741
Phone (954) 974-3111

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 967-8888

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9110648FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jun 4, 2018 Accepting new patients
Central Palm Beach Physicians & Urgent Care, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

2700 W Cypress Creek Rd
Ste C100
Ft Lauderdale, FL 33309
Phone (954) 974-3111

4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194

3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1679083919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 WATERVIEW WAY",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762898",
            "telephone_number": "845-258-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD STE C100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091741",
            "telephone_number": "954-974-3111",
            "fax_number": "954-974-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASZUBSKI",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-30",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110648",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.