Active NPI
John Joseph Mullen Jr., DO
- Pediatrics Physician
- West Palm Beach, FL
National Provider Identifier
1700469350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS20942
- Practice address
- 2939 N Military TRL
West Palm Beach, FL 33409-2916 - Phone
- (561) 863-5757
- Fax
- (561) 863-6627
- NPI assigned
- May 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS20942 | FL | Primary |
Addresses
Primary practice location
2939 N Military TRL
West Palm Beach, FL 33409-2916
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 967-6400
Other practice location 1
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 784-3127
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207001238 | FL | Order and Referring Only - Pediatric Medicine | 1153764188 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20942 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
| After Hours Pediatrics, Inc. | Past | Accepting new patients |
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.
-
- Clinic/Center
- Tampa, FL
- NPI 1992746879
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
-
- Pediatrics Physician
- West Palm Beach, FL
- NPI 1174731798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1700469350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "954-967-6400",
"fax_number": "954-965-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 N MILITARY TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334092916",
"telephone_number": "561-863-5757",
"fax_number": "561-863-6627"
}
],
"practiceLocations": [
{
"address_1": "13001 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Loxahatchee",
"state": "FL",
"postal_code": "334709203",
"country_code": "US",
"telephone_number": "561-784-3127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLEN",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-02",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS20942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.