Organization Active NPI

J&J Comprehensive Medical Care LLC

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1902285703
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME108006 Issued in FL
Legal business name
J&J COMPREHENSIVE MEDICAL CARE LLC
Practice address
1505 N. University Drive
Suite 400
Coral Springs, FL 33071
Phone
(954) 755-0404
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Jean Telusma, MDNPI 1922283266
Title
Physician/Owner
Phone
(954) 755-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME108006 FL Primary

Addresses

Primary practice location

1505 N. University Drive
Suite 400
Coral Springs, FL 33071

Mailing address

5645 Coral Ridge Drive
Suite 142
Coral Springs, FL 33076
Phone (910) 529-6685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150917000884 FL Part B Supplier - Clinic/Group Practice 2163739558 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2123135J and J Comprehensive Medical Care LLC1505 N University Dr Ste 400, Coral Springs, FL 33071Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1902285703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DRIVE",
            "address_2": "SUITE 142",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "910-529-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N. UNIVERSITY DRIVE",
            "address_2": "SUITE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "954-755-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J COMPREHENSIVE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "TELUSMA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-755-0404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.