Organization Active NPI

Pediatric Health of Weston, PA

  • Health Service Clinic/Center
  • Weston, FL
National Provider Identifier
1740401736
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PEDIATRIC HEALTH OF WESTON, PA
Practice address
2233 N Commerce Pkwy
Suite # 2
Weston, FL 33326-3252
Phone
(954) 659-0333
Fax
(954) 659-0999
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dr. Juan B Martinez Jr., M.D.NPI 1093822041
Title
Pediatrician
Phone
(954) 659-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0073596 FL
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2233 N Commerce Pkwy
Suite # 2
Weston, FL 33326-3252

Mailing address

2233 N Commerce Pkwy
Suite # 2
Weston, FL 33326-3252
Phone (954) 659-0333

Other identifiers 1

IdentifierTypeStateIssuer
253480100MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0985482Pediatric Health of Weston PA2233 N Commerce Pkwy Ste 2, Weston, FL 33326ComplianceMay 17, 2027

National Provider Directory

National Provider Directory

Locations

2233 N Commerce Pkwy
Ste 2
Weston, FL 33326
Phone (954) 659-0333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1740401736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 N COMMERCE PKWY",
            "address_2": "SUITE # 2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263252",
            "telephone_number": "954-659-0333",
            "fax_number": "954-659-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 N COMMERCE PKWY",
            "address_2": "SUITE # 2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263252",
            "telephone_number": "954-659-0333",
            "fax_number": "954-659-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH OF WESTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "954-659-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0073596",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253480100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.