Jupiter Medical Group P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JUPITER MEDICAL GROUP P A

Practice address

941 SE 1St St
Belle Glade, FL 33430-4353

Phone

(561) 992-4393

Fax

(561) 992-4394

NPI assigned

Dec 18, 2007

Last updated

Dec 26, 2007By 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

Rajendra K. Bansal, MDNPI 1285627885

Title

Owner

Phone

(561) 746-2411

Specialties & licenses 1

Addresses

Tax ID family

Jupiter Medical Group P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jupiter Medical Group P a

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1235313917
  NPD tax ID
• Jupiter Medical Group P a

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1649454752
  NPD tax ID

Practitioners 1

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.

• Rajendra K Bansal, MD

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1285627885
  Authorized official Same address or phone

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1902080674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-746-2411",
            "fax_number": "561-354-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SE 1ST ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304353",
            "telephone_number": "561-992-4393",
            "fax_number": "561-992-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER MEDICAL GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-746-2411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin McCoy Johnson
• Shandra N Jones, APRN
• John R Joseph, M.D.
• Marie Geralde Joseph, NP
• Wirdyne Joseph, BS
• Kasem Kaki
• Kidz World Therapy Services LLC
• Kidz World Therapy Services LLC
• Erica Knight
• Stan K Kotei, RPH

• Internal Medicine Physician in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.