Individual provider Active NPI

Jason Moniz, P.A.-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1922355015
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101896 Issued in FL
Practice address
108 Intracoastal Pointe Dr
Suite 300
Jupiter, FL 33477-5036
Phone
(561) 529-4494
Fax
(561) 529-4494
NPI assigned
Aug 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101896 FL Primary

Addresses

Primary practice location

108 Intracoastal Pointe Dr
Suite 300
Jupiter, FL 33477-5036

Mailing address

108 Intracoastal Pointe Dr
Suite 300
Jupiter, FL 33477-5036
Phone (561) 529-4494

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507000661 FL Practitioner - Physician Assistant 9032540042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jason.moniz.1@10476.direct.athenahealth.com
  • Direct secure messaging: jmoniz20459@jupitermedicalcenter.direct-ci.com

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1922355015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-529-4494",
            "fax_number": "561-529-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-529-4494",
            "fax_number": "561-529-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIZ",
        "first_name": "JASON",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.