Jessenia Magua, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME109091 Issued in FL

Practice address

8880 Royal Palm Boulevard
Suite 100
Coral Springs, FL 33065

Phone

(954) 753-2411

Fax

(954) 753-1176

NPI assigned

Nov 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Obstetrics/Gynecology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  Medicare reassignment Care Compare group NPD
• North Broward Hospital District

  dba Broward Health Cora E. Braynon Family Health Center Pharmacy

  • Community/Retail Pharmacy
  • Fort Lauderdale, FL
  • NPI 1134164965
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Medical Center Inc

  dba HCA Florida Northwest Hospital

  • General Acute Care Hospital
  • Margate, FL
  • NPI 1063466563
  Care Compare affiliation

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1851572747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 ROYAL PALM BOULEVARD",
            "address_2": "SUITE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-753-2411",
            "fax_number": "954-753-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 ROYAL PALM BOULEVARD",
            "address_2": "SUITE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-753-2411",
            "fax_number": "954-753-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUA",
        "first_name": "JESSENIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME109091",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME109091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magcare, Inc.
• Jacinta Chinazor Maghiro, APRN-BC
• Charles B. Magich Jr., CRNA
• Shieryl Endaya Magnaye
• Magnolia Dental
• Jaden Alexander Mahadeo
• Patricia B. Mahaney, ACSW, LCSW
• Daveda Maharaj, DO
• Aisling Maher
• Zeeshan Ali Mahmood, D.O.

• Obstetrics & Gynecology Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.