Active NPI
Jonathan David Gildin, PA
- Medical Physician Assistant
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9105788
- Practice address
- 1625 SE 3Rd Ave Ste 300
Fort Lauderdale, FL 33316-2521 - Phone
- (954) 355-4665
- Fax
- (954) 355-4881
- NPI assigned
- Nov 12, 2010
- Last updated
- Apr 3, 2024
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9105788 | FL | Primary |
Addresses
Primary practice location
1625 SE 3Rd Ave Ste 300
Fort Lauderdale, FL 33316-2521
Mailing address
1700 NW 49TH Street
Suite 125
Fort Lauderdale, FL 33309-3763
Phone (954) 355-4665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9105788 | Other | FL | DOH |
| 008462700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 81.94
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105788 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Broward Hospital District | Current | Accepting new patients | |
| Specialtycare Surgical Assist, LLC | Current | Accepting new patients | |
| North Broward Hospital District | Current | Accepting new patients | |
| North Broward Hospital District | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
1625 SE 3rd Ave
Ste 355
Fort Lauderdale, FL 33316
Phone (954) 355-5001
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
1625 SE 3rd Ave
Ste 300
Ft Lauderdale, FL 33316
Phone (954) 355-4665
1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jonathan.gildin.1@26289.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Surgical Physician Assistant
- Boynton Beach, FL
- NPI 1740395748
-
dba BH Physicians North
- Neurological Surgery Physician
- Fort Lauderdale, FL
- NPI 1801581129
-
dba Broward Health Annie L. Weaver Health Center Pharmacy
- Community/Retail Pharmacy
- Pompano Beach, FL
- NPI 1699709766
-
dba BHPG Mob 1625 Car 620
- Cardiovascular Disease Physician
- Fort Lauderdale, FL
- NPI 1912710633
-
dba Broward Health Cora E. Braynon Family Health Center Pharmacy
- Community/Retail Pharmacy
- Fort Lauderdale, FL
- NPI 1134164965
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1972804557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW 49TH STREET",
"address_2": "SUITE 125",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093763",
"telephone_number": "954-355-4665",
"fax_number": "954-355-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 SE 3RD AVE STE 300",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162521",
"telephone_number": "954-355-4665",
"fax_number": "954-355-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILDIN",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-12",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "PA9105788",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008462700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.