Individual provider Active NPI

Jasmin Jose, M.D.

  • Infectious Disease Physician
  • Delray Beach, FL
National Provider Identifier
1972867364
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME131951 Issued in FL
Practice address
6238 W Atlantic Ave Ste 2
Delray Beach, FL 33484
Phone
(561) 404-9845
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME131951 FL Primary

Addresses

Primary practice location

6238 W Atlantic Ave Ste 2
Delray Beach, FL 33484

Mailing address

15748 Glencrest Ave
Delray Beach, FL 33446-9580
Phone (516) 642-3253

Other identifiers 1

IdentifierTypeStateIssuer
ME131951OtherFLMED LIC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128002572 FL Practitioner - Infectious Disease 8820391360 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131951FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indira Marmolejos MD PA Infectious Disease CurrentSince Sep 16, 2018 Accepting new patients
Ernesto R Montesino MD PA Infectious Disease Past Accepting new patients

Locations

6238 Atlantic Ave
Ste 2
Delray Beach, FL 33484
Phone (561) 404-9845

2605 W Atlantic Ave
Ste D101
Delray Beach, FL 33445
Phone (561) 279-0991

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1972867364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15748 GLENCREST AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469580",
            "telephone_number": "516-642-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 W ATLANTIC AVE STE 2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "561-404-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JASMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME131951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LIC",
            "identifier": "ME131951",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.