Jeff Podiatry PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JEFF PODIATRY PA

Doing business as

Jeff Podiatry

Practice address

96096 Victorias PL
Yulee, FL 32097-6349

Phone

(904) 432-7309

Fax

(904) 432-7281

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Hany Jeffry, DPMNPI 1376887661

Title

Owner

Phone

(904) 432-7309

Specialties & licenses 1

Addresses

Other names 1

• Jeff Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hany M Jeffry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Yulee, FL
  • NPI 1376887661
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1861026288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96098 VICTORIAS PL",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976349",
            "telephone_number": "904-432-7309",
            "fax_number": "407-432-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96096 VICTORIAS PL",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976349",
            "telephone_number": "904-432-7309",
            "fax_number": "904-432-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "JEFFRY",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-432-7309",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• It'S a Deliverri LLC
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• Whitney Elizabeth Jackson, MD
• Janet Moulton, Inc. (Pediatric Therapy Associates)
• Ashley Nicole Jarek, PHARM.D.
• Hany M Jeffry, DPM
• Ciara Nicole Weeks Jenkins, SW
• Sarah Dawn Jenkins
• Brenna Grace Johnsen
• Alexandra Baker Johnson, ARNP

• Foot & Ankle Surgery Podiatrist in Yulee, FL
• Providers in Yulee, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.