Organization Active NPI

Lesly Jean, M.D., P.a.

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1942384136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 45032 Issued in FL
Legal business name
LESLY JEAN, M.D., P.A.
Practice address
321 W Atlantic Blvd
Suite 102
Pompano Beach, FL 33060-6048
Phone
(954) 781-3122
Fax
(954) 781-0860
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lesly Jean, M.D.
Title
M.D.
Phone
(954) 781-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 45032 FL Primary

Addresses

Primary practice location

321 W Atlantic Blvd
Suite 102
Pompano Beach, FL 33060-6048

Mailing address

321 W Atlantic Blvd
Suite 102
Pompano Beach, FL 33060-6048
Phone (954) 781-3122

Other names 1

  • L. J. Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

321 W Atlantic Blvd
Ste 102
Pompano Beach, FL 33060
Phone (954) 781-3122

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942384136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W ATLANTIC BLVD",
            "address_2": "SUITE 102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606048",
            "telephone_number": "954-781-3122",
            "fax_number": "954-781-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W ATLANTIC BLVD",
            "address_2": "SUITE 102",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606048",
            "telephone_number": "954-781-3122",
            "fax_number": "954-781-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLY JEAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "954-781-3122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 45032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L. J. Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.