Individual provider Active NPI

Josephine Vincenza Jasper, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Marco Island, FL
National Provider Identifier
1962571752
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME128241 Issued in FL
Practice address
40 S Heathwood Dr Ste E
Marco Island, FL 34145-5026
Phone
(239) 315-8271
Fax
(239) 970-0446
NPI assigned
Nov 7, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA05391900 NJ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME128241 FL Primary

Addresses

Primary practice location

40 S Heathwood Dr Ste E
Marco Island, FL 34145-5026

Mailing address

1904 Sheffield Ave
Marco Island, FL 34145-6703
Phone (239) 315-8271

Other practice location 1

74 Brick Blvd Ste 124
Brick, NJ 08723-7984
Phone (973) 777-0900

Other practice location 2

704 Goodlette Rd N Ste 108
Naples, FL 34102-5644
Phone (239) 315-8271

Other identifiers 2

IdentifierTypeStateIssuer
65159OtherAETNA
D40WFOtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051024000743 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 9931125416 Practice locations: Brick, NJ; Clifton, NJ
I20161220000198 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 9931125416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

40 S Heathwood Dr
Suite E
Marco Island, FL 34145-5026
Phone (239) 315-8271

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128241FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Josephine V Jasper MD PA Endocrinology, Diabetes & Metabolism CurrentSince Dec 13, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

40 S Heathwood Dr
Ste E
Marco Island, FL 34145
Phone (239) 315-8271

704 Goodlette Rd
Ste 108
Naples, FL 34102
Phone (239) 315-8271

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962571752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 SHEFFIELD AVE",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341456703",
            "telephone_number": "239-315-8271",
            "fax_number": "239-970-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S HEATHWOOD DR STE E",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341455026",
            "telephone_number": "239-315-8271",
            "fax_number": "239-970-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Brick Blvd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087237984",
            "country_code": "US",
            "telephone_number": "973-777-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Goodlette Rd N Ste 108",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025644",
            "country_code": "US",
            "telephone_number": "239-315-8271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASPER",
        "first_name": "JOSEPHINE",
        "middle_name": "VINCENZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA05391900",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME128241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "65159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "D40WF",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

Verify at the official NPI Registry.