Organization Active NPI

J.C. Meeroff MD PA

  • Gastroenterology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1942589817
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0041305 Issued in FL
Legal business name
J.C. MEEROFF MD PA
Practice address
4801 N Federal Hwy
Suite 202 East
Fort Lauderdale, FL 33308-4618
Phone
(954) 771-9297
Fax
(954) 771-9913
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
J C Meeroff, MD
Title
President
Phone
(954) 771-9297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME0041305 FL Primary

Addresses

Primary practice location

4801 N Federal Hwy
Suite 202 East
Fort Lauderdale, FL 33308-4618

Mailing address

4801 N Federal Hwy
Suite 202 East
Fort Lauderdale, FL 33308-4618
Phone (954) 771-9297

Other identifiers 1

IdentifierTypeStateIssuer
372960500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110817000666 FL Part B Supplier - Clinic/Group Practice 6103095625 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

4801 N Federal Hwy
Ste 202
Ft Lauderdale, FL 33308
Phone (954) 771-9297

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1942589817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 202 EAST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-771-9297",
            "fax_number": "954-771-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 202 EAST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-771-9297",
            "fax_number": "954-771-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. MEEROFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "MEEROFF",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-9297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0041305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372960500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.