Organization Active NPI

David S Rondon MD PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jupiter, FL
National Provider Identifier
1730337023
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME052020 Issued in FL
Legal business name
DAVID S RONDON MD PA
Practice address
601 University Blvd
Suite 104
Jupiter, FL 33458-2788
Phone
(561) 694-8945
Fax
(561) 694-8688
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Jennifer Lomonaco
Title
Medical Billing Manager
Phone
(561) 694-8945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X ME052020 FL Primary

Addresses

Primary practice location

601 University Blvd
Suite 104
Jupiter, FL 33458-2788

Mailing address

601 University Blvd
Suite 104
Jupiter, FL 33458-2788
Phone (561) 694-8945

Other identifiers 1

IdentifierTypeStateIssuer
047520300MedicaidFL

National Provider Directory

National Provider Directory

Locations

11211 Prosperity Farms Rd
Ste 127
Palm Beach Gardens, FL 33410
Phone (561) 694-8945

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1730337023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-694-8945",
            "fax_number": "561-694-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-694-8945",
            "fax_number": "561-694-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S RONDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "LOMONACO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "561-694-8945"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME052020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047520300",
            "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 Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.