Organization Active NPI

Jordan C. Grabel, M.D., P.a.

  • Neurological Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1982965968
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0059569 Issued in FL
Legal business name
JORDAN C. GRABEL, M.D., P.A.
Practice address
1411 N. Flagler Drive
Suite 5900
West Palm Beach, FL 33401-3412
Phone
(561) 833-6388
Fax
(561) 833-6353
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Mrs. Lisa M. Carlow
Title
Office Manager
Phone
(561) 833-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME0059569 FL Primary

Addresses

Primary practice location

1411 N. Flagler Drive
Suite 5900
West Palm Beach, FL 33401-3412

Mailing address

1411 N. Flagler Drive
Suite 5900
West Palm Beach, FL 33401-3412
Phone (561) 833-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000283 FL Part B Supplier - Clinic/Group Practice 0143465013 Receives reassigned benefits from 2 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

1411 N Flagler Dr
Ste 5900
West Palm Beach, FL 33401
Phone (561) 833-6388

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1982965968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N. FLAGLER DRIVE",
            "address_2": "SUITE 5900",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013412",
            "telephone_number": "561-833-6388",
            "fax_number": "561-833-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N. FLAGLER DRIVE",
            "address_2": "SUITE 5900",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013412",
            "telephone_number": "561-833-6388",
            "fax_number": "561-833-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN C. GRABEL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "CARLOW",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-833-4054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0059569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.