Jupiter Medical Group P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0049954 Issued in FL

Legal business name

JUPITER MEDICAL GROUP P A

Practice address

875 Military TRL
Suite 200
Jupiter, FL 33458-5700

Phone

(561) 746-2411

Fax

(561) 354-0012

NPI assigned

Jul 15, 2006

Last updated

Jan 30, 2012By 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

Dr. Rajendra K. Bansal, M.D.NPI 1285627885

Title

Medical Director

Phone

(561) 746-2411

Specialties & licenses 3

Addresses

Locations

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.

• Rajendra K Bansal, MD

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1285627885
  Authorized official Same address or phone

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1851318299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-746-2411",
            "fax_number": "561-354-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-746-2411",
            "fax_number": "561-354-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER MEDICAL GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-746-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049954",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0076025",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0049954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jupiter Medical Center Physicians Group Inc
• Jupiter Medical Center, Inc.
• Jupiter Medical Detox LLC
• Jupiter Medical Group P a
• Jupiter Medical Group P a
• Jupiter Orthodontics Inc
• Jupiter Orthopaedic Partners LLC
• Jupiter Orthopedics and Sports Medicine PLLC
• Jupiter Outpatient Surgery Center LLC
• Jupiter Pain Management Consultants

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.