Active NPI
Jenifer Donnellan McCarthy, M.D.
- Reproductive Endocrinology Physician
- Jupiter, FL
National Provider Identifier
1801912076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- ME106455
- Practice address
- 345 Jupiter Lakes Blvd
Suite 102
Jupiter, FL 33458-7100 - Phone
- (561) 972-6900
- Fax
- (561) 972-6901
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | ME106455 | FL | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | 4301083491 | MI |
Addresses
Primary practice location
345 Jupiter Lakes Blvd
Suite 102
Jupiter, FL 33458-7100
Mailing address
345 Jupiter Lakes Blvd
Suite 102
Jupiter, FL 33458-7100
Phone (561) 972-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 18, 2017 through Jul 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME106455 | FL | MD | Reproductive Endocrinology Physician |
| 4301083491 | MI | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Institute for Reproductive Medicine | Past | Accepting new patients |
Interoperability endpoints
- jmccarthy20392@jupitermedicalcenter.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- South Miami, FL
- NPI 1437319654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1801912076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD",
"address_2": "SUITE 102",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587100",
"telephone_number": "561-972-6900",
"fax_number": "561-972-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 JUPITER LAKES BLVD",
"address_2": "SUITE 102",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587100",
"telephone_number": "561-972-6900",
"fax_number": "561-972-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "JENIFER",
"middle_name": "DONNELLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "FL",
"license": "ME106455",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MI",
"license": "4301083491",
"primary": false
}
],
"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 Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.