Organization Active NPI

J.F.K. Pediatrics Inc.

  • Pediatrics Physician
  • Atlantis, FL
National Provider Identifier
1740488519
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
J.F.K. PEDIATRICS INC.
Practice address
160 JFK Dr Ste 101
Atlantis, FL 33462-6638
Phone
(561) 964-1215
Fax
(561) 964-1245
NPI assigned
Jul 3, 2007
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Julie A Konowitz-Sirkin, MDNPI 1821186230
Title
President
Phone
(561) 964-1215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X FL Primary

Addresses

Primary practice location

160 JFK Dr Ste 101
Atlantis, FL 33462-6638

Mailing address

160 JFK Dr Ste 101
Atlantis, FL 33462-6638
Phone (561) 964-1215

Other practice location 1

9868 S State Road 7 Ste 305
Boynton Beach, FL 33472-4475
Phone (561) 369-0111

Other identifiers 2

IdentifierTypeStateIssuer
97576OtherFLBLUE CROSS BLUE SHIELD
277717700MedicaidFL

National Provider Directory

National Provider Directory

Locations

160 John F Kennedy Dr
Ste 101
Atlantis, FL 33462
Phone (561) 964-1215

9868 S State Road 7
Ste 305
Boynton Beach, FL 33472
Phone (561) 369-0111

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1740488519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 JFK DR STE 101",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626638",
            "telephone_number": "561-964-1215",
            "fax_number": "561-964-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 JFK DR STE 101",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626638",
            "telephone_number": "561-964-1215",
            "fax_number": "561-964-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9868 S State Road 7 Ste 305",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334724475",
            "country_code": "US",
            "telephone_number": "561-369-0111",
            "fax_number": "561-369-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J.F.K. PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-09-16",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "KONOWITZ-SIRKIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-1215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "97576",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277717700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.