Jupiter Pediatric Associates, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JUPITER PEDIATRIC ASSOCIATES, PA

Practice address

6650 W Indiantown Rd
Suite 110
Jupiter, FL 33458-4628

Phone

(561) 575-9876

Fax

(561) 575-2858

NPI assigned

Jul 12, 2006

Last updated

Oct 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Colaizzo, MDNPI 1821023334

Title

President

Phone

(561) 575-9876

Specialties & licenses 2

Addresses

Other identifiers 3

Practitioners 1

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.

• Philip Colaizzo, MD

  • Pediatrics Physician
  • Jupiter, FL
  • NPI 1821023334
  NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1801821319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584628",
            "telephone_number": "561-575-9876",
            "fax_number": "561-575-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584628",
            "telephone_number": "561-575-9876",
            "fax_number": "561-575-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "COLAIZZO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-575-9876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21874",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10262880",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11832A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jupiter Orthopaedic Partners LLC
• Jupiter Orthopedics and Sports Medicine PLLC
• Jupiter Outpatient Surgery Center LLC
• Jupiter Pain Management Consultants
• Jupiter Pathology Consultants PL
• Jupiter Pediatric Dentistry, LLC
• Jupiter Physical Therapy
• Jupiter Primary Care Group Inc
• Jupiter Primary Care Group Inc
• Jupiter Prosthodontics

• Pediatrics Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.