Jessica Amortegui

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115082 Issued in FL

Practice address

7015 Beracasa Way Ste 201
Boca Raton, FL 33433-3453

Phone

(561) 477-7728

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Andrea B. Trowers, MD PA

  • Medical Specialty Clinic/Center
  • Miami Shores, FL
  • NPI 1184803249
  Medicare reassignment
• Angelo Ayar, MD, PA

  • Dermatology Physician
  • Tamarac, FL
  • NPI 1548779655

  Multi-Specialty

  NPD (past)
• Mark S. Denker M.D. PA Inc.

  • Reproductive Endocrinology Physician
  • Boca Raton, FL
  • NPI 1295126779
  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1689337255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18256 NW 6TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293676",
            "telephone_number": "954-849-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 BERACASA WAY STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333453",
            "telephone_number": "561-477-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORTEGUI",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115082",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvon Amisial, PT
• Amity Health Group LLC
• Aml Diagnostics, Inc
• Amoretti Pediatrics
• Rennan Heringer Amorim
• Alice Ann Amos, LMHC
• Amplify Therapies LLC
• Avraham Amsalem, D.D.S, M.D
• Amy K. Fox, LLC
• Giri Anand, PT

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.

Verify at the official NPI Registry.