Organization Active NPI

Center for Bone & Joint Surgery of the Palm Beaches, P.a.

  • Orthopaedic Surgery Physician
  • Jupiter, FL
National Provider Identifier
1770953465
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.
Practice address
875 Military TRL Ste 105
Jupiter, FL 33458-5700
Phone
(561) 798-6600
NPI assigned
Oct 7, 2015
Reactivated
Aug 17, 2018
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Harvey Montijo, MD
Title
President
Phone
(561) 803-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

875 Military TRL Ste 105
Jupiter, FL 33458-5700

Mailing address

10131 Forest Hill Blvd Ste 230
Wellington, FL 33414-6109
Phone (561) 798-6600

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
10D2074974Center for Bone and Joint Surgery875 Military TRL Ste 105, Jupiter, FL 33458Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory
Part of
Center for Bone Joint

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1770953465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 230",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146109",
            "telephone_number": "561-798-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-798-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "deactivation_date": "2018-07-25",
        "reactivation_date": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MONTIJO",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-803-8616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.