Active NPI
L Jerome Krovetz, MD PHD
- Pediatric Cardiology Physician
- Boca Raton, FL
National Provider Identifier
1962480178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME10088
- Practice address
- 951 NW 13TH St
BLDG 1E
Boca Raton, FL 33486-2337 - Phone
- (561) 416-2144
- Fax
- (561) 416-1372
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | ME10088 | FL | Primary |
Addresses
Primary practice location
951 NW 13TH St
BLDG 1E
Boca Raton, FL 33486-2337
Mailing address
10151 Enterprise Center Boulevard
Suite 101
Boynton Beach, FL 33437-3760
Phone (561) 416-2144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040134000 | Medicaid | FL | |
| 93707 | Other | BC | |
| 89993 | Other | WELL CARE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME10088 | FL | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1962480178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 ENTERPRISE CENTER BOULEVARD",
"address_2": "SUITE 101",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373760",
"telephone_number": "561-416-2144",
"fax_number": "561-416-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NW 13TH ST",
"address_2": "BLDG 1E",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862337",
"telephone_number": "561-416-2144",
"fax_number": "561-416-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROVETZ",
"first_name": "L",
"middle_name": "JEROME",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME10088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040134000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "93707",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CARE",
"identifier": "89993",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.