Individual provider Active NPI

Jeffrey E De Graft-Johnson, MD, PHD

  • Health Maintenance Organization
  • Tamarac, FL
National Provider Identifier
1871832451
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Practice address
7421 N University Dr
Suite 314
Tamarac, FL 33321-2977
Phone
(954) 292-2522
NPI assigned
Feb 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

7421 N University Dr
Suite 314
Tamarac, FL 33321-2977

Mailing address

2623 Centennial Blvd
Heart and Vascular Institute of North Florida
Tallahassee, FL 32308-0585
Phone (954) 292-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1871832451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 CENTENNIAL BLVD",
            "address_2": "HEART AND VASCULAR INSTITUTE OF NORTH FLORIDA",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080585",
            "telephone_number": "954-292-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 314",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-292-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GRAFT-JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-02",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.