Associates of Internal Medicine P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS7581 Issued in FL

Legal business name

ASSOCIATES OF INTERNAL MEDICINE P A

Practice address

13660 Jog Rd
Suite 5
Delray Beach, FL 33446-3806

Phone

(561) 498-7474

Fax

(561) 819-6466

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Joanna Widdows, D.O.NPI 1619911070

Title

President/Owner

Phone

(561) 498-7474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Joanna Widdows, DO

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1619911070
  Medicare reassignment NPD Authorized official
• Sheri Lynn Novendstern, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1750494027
  Medicare reassignment NPD
• Amber Pruss, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
  • NPI 1891591525
  NPD
• Donna Leonardo, PA-C

  • Medical Physician Assistant
  • Delray Beach, FL
  • NPI 1053716332
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1962698464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 JOG RD",
            "address_2": "SUITE 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-498-7474",
            "fax_number": "561-819-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 JOG RD",
            "address_2": "SUITE 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463806",
            "telephone_number": "561-498-7474",
            "fax_number": "561-819-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES OF INTERNAL MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "WIDDOWS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-498-7474",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cartier Asberry
• David Ashkin, MD
• Ashley Manor Alf
• Ashley Place Assisted Living Facility Inc
• Ashok P Sharma MD PA
• Association for Community Counseling,Inc.
• Asus Center Care LLC
• Nima Ataei
• Atlantic Avenue Chiropractic Center Inc
• Atlantic Chiropractic Studio

• Internal Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.