Organization Active NPI

Januariusz L. Styperek MD PA

  • Specialist
  • Boynton Beach, FL
National Provider Identifier
1932313186
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 0027142 Issued in FL
Legal business name
JANUARIUSZ L. STYPEREK MD PA
Practice address
2314 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-6788
Phone
(561) 732-1586
Fax
(561) 732-3160
NPI assigned
May 9, 2007
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Ms. Sonia Cuevas
Title
Medical Billing Specialist
Phone
(561) 732-1586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 0027142 FL Primary

Addresses

Primary practice location

2314 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-6788

Mailing address

2314 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-6788
Phone (561) 732-1586

Other identifiers 3

IdentifierTypeStateIssuer
035128800MedicaidFL
93360OtherFLBCBS OF FL
110013019OtherFLPALMETTO GBA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110212000052 FL Part B Supplier - Clinic/Group Practice 1254511926 Receives reassigned benefits from 3 practitioners
Practice locations: Boynton Beach, 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
10D0683309Januariusz L Styperek MD PA2314 S Seacrest Blvd Ste 102, Boynton Beach, FL 33435Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

Locations

2314 S Seacrest Blvd
Ste 102
Boynton Beach, FL 33435
Phone (561) 732-1586

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1932313186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 S SEACREST BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356788",
            "telephone_number": "561-732-1586",
            "fax_number": "561-732-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 S SEACREST BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356788",
            "telephone_number": "561-732-1586",
            "fax_number": "561-732-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUARIUSZ L. STYPEREK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "CUEVAS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "561-732-1586",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 0027142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035128800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "93360",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110013019",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.