Individual provider Active NPI

Jonathan David Gildin, PA

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1972804557
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105788 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA9105788OtherFLDOH
008462700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000205 FL Practitioner - Physician Assistant 4880875533 Reassigns benefits to 2 organizations

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
Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

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 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105788FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince May 1, 2025 Accepting new patients
Specialtycare Surgical Assist, LLC CurrentSince Jan 18, 2026 Accepting new patients
North Broward Hospital District CurrentSince May 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.