Joseph Junior Boubert

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

312-P.A. Issued in PR

Practice address

2135 S Congress Ave Ste 4a
Palm Springs, FL 33406-7611

Phone

(561) 965-6333

Fax

(866) 678-3710

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gsareen, LLC.,

  dba Serentity by a. Dr. Sareen

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1295412740
  Medicare reassignment
• Caring Hearts Family Medical Centers, LLC

  • Family Medicine Physician
  • Palm Springs, FL
  • NPI 1235557273
  NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1942858709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE STE 4A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-965-6333",
            "fax_number": "866-678-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE STE 4A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-965-6333",
            "fax_number": "866-678-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUBERT",
        "first_name": "JOSEPH",
        "middle_name": "JUNIOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PR",
            "license": "312-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boca Ri LLC (Banyan Palm Beach)
• Boca Ri LLC
• Beni Dias Neves Borges, P.T.
• Maritza Borras Bouza
• Donna Marie Bos, ARNP
• Marc Bourgeau
• Marie Uranie Boursiquot, PSY.D.
• Ryan Boyle
• Luis Bretones Sr., SLPA
• Bridge to Harmony Inc (Aeterna Art Wellness & SPA)

• Nurse Practitioner in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.
• 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.