Active NPI
Kent Christopher New, M.D.. PH.D.
- Neurological Surgery Physician
- Jacksonville, FL
National Provider Identifier
1952390312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME92824
- Practice address
- 4205 Belfort Road
Suite 3075 Joe Adams Building
Jacksonville, FL 32216 - Phone
- (904) 296-3103
- Fax
- (904) 296-3106
- NPI assigned
- Oct 18, 2005
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME92824 | FL | Primary |
Addresses
Primary practice location
4205 Belfort Road
Suite 3075 Joe Adams Building
Jacksonville, FL 32216
Mailing address
4205 Belfort Road
Suite 3075 Joe Adams Building
Jacksonville, FL 32216
Phone (904) 296-3103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03397 | Other | FL | BLUECROSS/BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1952390312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT ROAD",
"address_2": "SUITE 3075 JOE ADAMS BUILDING",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32216",
"telephone_number": "904-296-3103",
"fax_number": "904-296-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 BELFORT ROAD",
"address_2": "SUITE 3075 JOE ADAMS BUILDING",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32216",
"telephone_number": "904-296-3103",
"fax_number": "904-296-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEW",
"first_name": "KENT",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.. PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME92824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "03397",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.