Active NPI
Center for Bone & Joint Surgery of the Palm Beaches, P.a.
- Orthopaedic Surgery Physician
- Jupiter, FL
National Provider Identifier
1770953465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2074974 | Center for Bone and Joint Surgery | Certificate of waiver | Mar 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.
-
dba Palms Wellington Surgical Center
- Ambulatory Surgical Clinic/Center
- Royal Palm Beach, FL
- NPI 1003847500
Member Of
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.