Organization Active NPI

Infinite Integrity Health Center LLC

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1760006597
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INFINITE INTEGRITY HEALTH CENTER LLC
Practice address
1301 N Congress Ave Ste 420
Boynton Beach, FL 33426-3362
Phone
(561) 208-1090
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Dr. Jedlyn PierrilusNPI 1396973814
Title
MD
Phone
(561) 208-1090

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1301 N Congress Ave Ste 420
Boynton Beach, FL 33426-3362

Mailing address

PO Box 19442
West Palm Beach, FL 33416-9442
Phone (561) 208-1090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yourhealthmatters@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200817001434 FL Part B Supplier - Clinic/Group Practice 7416373832 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

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
10D2228805Infinite Integrity Health Center, LLC1301 N Congress Ave, Ste 420, Boynton Beach, FL 33426Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

1301 N Congress Ave
Ste 420
Boynton Beach, FL 33426
Phone (561) 208-1090

13455 S Military Trl
Delray Beach, FL 33484
Phone (561) 495-9700

Interoperability endpoints

  • Direct secure messaging: yourhealthmatters@direct.practicefusion.com

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": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1760006597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19442",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334169442",
            "telephone_number": "561-208-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N CONGRESS AVE STE 420",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263362",
            "telephone_number": "561-208-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE INTEGRITY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "PIERRILUS",
        "authorized_official_first_name": "JEDLYN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-208-1090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yourhealthmatters@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "1301 N Congress Ave Ste 420",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334263362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.