Active NPI
Eric Neil Jaffe, DMD
- Dentist
- Stuart, FL
National Provider Identifier
1730347758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN12004
- Practice address
- 2474 SE Federal Hwy
Stuart, FL 34994-4531 - Phone
- (772) 220-7555
- Fax
- (772) 220-1016
- NPI assigned
- May 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN12004 | FL | Primary |
Addresses
Primary practice location
2474 SE Federal Hwy
Stuart, FL 34994-4531
Mailing address
2474 SE Federal Hwy
Stuart, FL 34994-4531
Phone (772) 220-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 21, 2016 through Jun 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN12004 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giol & Jaffe, LLC | Past | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Stuart, FL
- NPI 1902952195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1730347758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 SE FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349944531",
"telephone_number": "772-220-7555",
"fax_number": "772-220-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2474 SE FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349944531",
"telephone_number": "772-220-7555",
"fax_number": "772-220-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "ERIC",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN12004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.