Individual provider Active NPI

Jay Mermelstein, M.D.

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1750496105
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0037529 Issued in FL
Practice address
28960 US Highway 19 N Ste 100
Clearwater, FL 33761-2403
Phone
(727) 786-1747
Fax
(727) 789-2961
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0037529 FL Primary

Addresses

Primary practice location

28960 US Highway 19 N Ste 100
Clearwater, FL 33761-2403

Mailing address

PO Box 134
Safety Harbor, FL 34695-0134
Phone (727) 786-1747

Other practice location 1

1803 Briar Creek Blvd
Safety Harbor, FL 34695-4696
Phone (727) 786-1747

Other practice location 2

3890 Tampa Rd
suite 303
Palm Harbor, FL 34684-3676
Phone (727) 786-1747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080206000023 FL Practitioner - Family Practice 4981787512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28960 US Hwy 19 N
Suite 100
Clearwater, FL 33761-2403
Phone (727) 786-1747

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0037529FLMDFamily Medicine Physician
37529FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Mermelstein MD PA Family Medicine CurrentSince Dec 1, 2007 Accepting new patients

Locations

28960 US Highway 19 N
Ste 100
Clearwater, FL 33761
Phone (727) 786-1747

3890 Tampa Rd
Ste 303
Palm Harbor, FL 34684
Phone (727) 786-1747

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750496105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346950134",
            "telephone_number": "727-786-1747",
            "fax_number": "727-789-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28960 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612403",
            "telephone_number": "727-786-1747",
            "fax_number": "727-789-2961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Briar Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "346954696",
            "country_code": "US",
            "telephone_number": "727-786-1747",
            "fax_number": "727-789-2961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3890 Tampa Rd",
            "address_2": "suite 303",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843676",
            "country_code": "US",
            "telephone_number": "727-786-1747",
            "fax_number": "727-789-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0037529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.