Peter John Jaffe, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS8375 Issued in FL

Practice address

1865 Veterans Park Dr
Suite # 101
Naples, FL 34109-0447

Phone

(239) 254-7778

Fax

(239) 254-7718

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: peterjaffe@ssmp.allscriptsdirect.net

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.

• Regional Rehab Associates PA

  dba Jaffe Sports Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
  • NPI 1073714010
  Medicare reassignment NPD Authorized official
• Regional Rehab Associates, P.a.

  dba Jaffe Sports Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
  • NPI 1063217826
  NPD (past) Authorized official
• Regional Rehab Associates, P.a.

  dba Jaffe Sports Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
  • NPI 1831994615
  NPD (past) Authorized official
• The Naples Endoscopy ASC LP

  dba The Endoscopy Center of Naples

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1639141377
  NPD
• Advanced Dermatologic & Cosmetic Institute Inc

  • Dermatology Physician
  • Naples, FL
  • NPI 1639125735
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1851443337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111090",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080119",
            "telephone_number": "239-254-7778",
            "fax_number": "239-254-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 VETERANS PARK DR",
            "address_2": "SUITE # 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090447",
            "telephone_number": "239-254-7778",
            "fax_number": "239-254-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS8375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51541",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4736770002",
            "identifier": "DMERC",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "223383833",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "250014152",
            "identifier": "RAILROAD MEDICARE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS8375",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy L Jackson
• Jacob Madigan DPT LLC
• Aaron Matthew Jacobs, MD
• Brian Jacobson
• Michael Thomas Jacobson, M.D.
• Russell J Jaffe, OT
• Renee Jakymec, PA
• Robert Jalosinski, M.D.,
• James Haakenson DC, LLC
• James Halikas MD LLC

• Physical Medicine & Rehabilitation Physician in Naples, FL
• Providers in Naples, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.