Jack I Newcomer MD PA

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME0048252 Issued in FL

Legal business name

JACK I NEWCOMER MD PA

Practice address

3319 State Road 7
Suite 108
Wellington, FL 33449-8094

Phone

(561) 798-2800

Fax

(561) 793-6631

NPI assigned

Sep 24, 2008

Last updated

Apr 7, 2014By 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

Jack I Newcomer, MDNPI 1750498259

Title

Physician

Phone

(561) 798-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Jack Irvin Newcomer, MD

  • Sports Medicine (Family Medicine) Physician
  • Wellington, FL
  • NPI 1750498259
  Medicare reassignment Authorized official
• Maria O Lopez, M.D.

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1538139936
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1871743062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 108",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-798-2800",
            "fax_number": "561-793-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 108",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498094",
            "telephone_number": "561-798-2800",
            "fax_number": "561-793-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK I NEWCOMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "NEWCOMER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-798-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME0048252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Isbell, CRNA
• Marie Ketlie Isidort
• Leonard Israel, PH.D
• Olivia Nell Izenwasser
• J&R Reliable Transport LLC
• Zachariah Jacob
• Maria Annette Jacobs, ARNP
• Florence Jacquet-Cribe, ARNP
• Michael E Jaeger, DDS
• Marcia Jaffe

• Sports Medicine (Family Medicine) Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.