Organization Active NPI

JB and JB Healthcare LLC

  • Obstetrics & Gynecology Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1851877435
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JB AND JB HEALTHCARE LLC
Practice address
3001 NW 49TH Ave Ste 300
Lauderdale Lakes, FL 33313
Phone
(954) 353-5168
Fax
(954) 256-9328
NPI assigned
Jul 17, 2018
Last updated
Jul 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Laura B Burke
Title
MGMR
Phone
(954) 563-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X FL Primary

Addresses

Primary practice location

3001 NW 49TH Ave Ste 300
Lauderdale Lakes, FL 33313

Mailing address

3001 NW 49TH Ave Ste 300
Lauderdale Lakes, FL 33313-7266
Phone (954) 353-5168

Other identifiers 1

IdentifierTypeStateIssuer
013551700MedicaidFL

National Provider Directory

National Provider Directory

Locations

3001 NW 49th Ave
Ste 300
Lauderdale Lakes, FL 33313
Phone (954) 353-5168

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1851877435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137266",
            "telephone_number": "954-353-5168",
            "fax_number": "954-256-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-353-5168",
            "fax_number": "954-256-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB AND JB HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "954-563-4472"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013551700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.