Individual provider Active NPI

Jean Junior Telusma, M.D.

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1922283266
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME108006 Issued in FL
Practice address
1505 N University Dr Ste 400
Coral Springs, FL 33071
Phone
(954) 755-0404
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2005-01841 NC
Internal Medicine Physician 207R00000X ME108006 FL Primary

Addresses

Primary practice location

1505 N University Dr Ste 400
Coral Springs, FL 33071

Mailing address

5645 Coral Ridge Dr
Suite #142
Coral Springs, FL 33076-3124
Phone (954) 798-2328

Other practice location 1

5645 Coral Ridge Dr
Suite #142
Coral Springs, FL 33076-3124
Phone (954) 755-0404

Other practice location 2

5645 Coral Ridge Dr
Suite #142
Coral Springs, FL 33076-3124
Phone (954) 526-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140116000355 FL Practitioner - Internal Medicine 1254567381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1505 N University Dr
Suite 400
Coral Springs, FL 33071-8976
Phone (954) 755-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108006FLMDInternal Medicine Physician
2005-01841NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J&J Comprehensive Medical Care LLC Internal Medicine CurrentSince May 22, 2015 Accepting new patients

Locations

1505 N University Dr
Ste 400
Coral Springs, FL 33071
Phone (954) 345-5644

5645 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 345-5644

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1922283266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DR",
            "address_2": "SUITE #142",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763124",
            "telephone_number": "954-798-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N UNIVERSITY DR STE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "954-755-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 Coral Ridge Dr",
            "address_2": "Suite #142",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763124",
            "country_code": "US",
            "telephone_number": "954-755-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5645 Coral Ridge Dr",
            "address_2": "Suite #142",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330763124",
            "country_code": "US",
            "telephone_number": "954-526-1885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELUSMA",
        "first_name": "JEAN",
        "middle_name": "JUNIOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-01841",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.