Individual provider Active NPI

Jerome B. Vincente, M.D.

  • Hospitalist Physician
  • Atlantis, FL
National Provider Identifier
1811930720
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME45602 Issued in FL
Practice address
115 John F Kennedy Dr
Atlantis, FL 33462-1152
Phone
(561) 967-2200
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME45602 FL
Hospitalist Physician 208M00000X ME45602 FL Primary

Addresses

Primary practice location

115 John F Kennedy Dr
Atlantis, FL 33462-1152

Mailing address

115 John F Kennedy Dr
Atlantis, FL 33462-1152
Phone (561) 967-2200

Other identifiers 1

IdentifierTypeStateIssuer
259247903MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000192 FL Practitioner - Internal Medicine 3971592353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 John F Kennedy Dr
Atlantis, FL 33462-1152
Phone (561) 967-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Jerome B. Vincente M.D.P.a. Internal Medicine CurrentSince Jun 10, 2013 Accepting new patients
Tenet Florida Physician Services LLC Internal Medicine CurrentSince Apr 1, 2013 Accepting new patients

Locations

115 John F Kennedy Dr
Lake Worth, FL 33462
Phone (407) 967-2200

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1811930720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621152",
            "telephone_number": "561-967-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621152",
            "telephone_number": "561-967-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTE",
        "first_name": "JEROME",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME45602",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME45602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259247903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.