Active NPI
Jason Moniz, P.A.-C
- Physician Assistant
- Jupiter, FL
National Provider Identifier
1922355015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101896
- 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
- Last updated
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- jason.moniz.1@10476.direct.athenahealth.com
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.