NPIMap

Organization Active NPI

Jstadoc, Inc

  • Primary Care Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1730482043
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME83041 Issued in FL
Legal business name
JSTADOC, INC
Practice address
9121 N Military TRL
Ste 102
West Palm Beach, FL 33410-5984
Phone
(561) 685-9834
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Dr. Jan Steven Kaufman, MD
Title
President
Phone
(561) 685-9834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME83041 FL Primary

Addresses

Primary practice location

9121 N Military TRL
Ste 102
West Palm Beach, FL 33410-5984

Mailing address

9121 N Military TRL
Ste 102
West Palm Beach, FL 33410-5984
Phone (561) 685-9834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1730482043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL",
            "address_2": "STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334105984",
            "telephone_number": "561-685-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL",
            "address_2": "STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334105984",
            "telephone_number": "561-685-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSTADOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-685-9834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME83041",
            "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 Dec 8, 2010; 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.