Active NPI
Jean Gary Gedeus Joseph
- Acupuncturist
- Lauderdale Lakes, FL
National Provider Identifier
1720336498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3043
- Practice address
- 3500 N State Road 7 Ste 125
Lauderdale Lakes, FL 33319-5636 - Phone
- (954) 599-4646
- Fax
- (954) 766-4085
- NPI assigned
- Aug 28, 2012
- Last updated
- Aug 28, 2012
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP3043 | FL | Primary |
Addresses
Primary practice location
3500 N State Road 7 Ste 125
Lauderdale Lakes, FL 33319-5636
Mailing address
3500 N State Road 7 Ste 125
Lauderdale Lakes, FL 33319-5636
Phone (954) 599-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3043 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenith Care Home Health, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Lauderdale Lakes, FL
- NPI 1073350633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1720336498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N STATE ROAD 7 STE 125",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195636",
"telephone_number": "954-599-4646",
"fax_number": "954-766-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N STATE ROAD 7 STE 125",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195636",
"telephone_number": "954-599-4646",
"fax_number": "954-766-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "JEAN GARY",
"middle_name": "GEDEUS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.