NPIMap

Organization Active NPI

Treasure Coast Medical Associates

Doing business as Stuart Urgent Care

  • Emergency Medicine Physician
  • Jensen Beach, FL
National Provider Identifier
1992791198
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME68270 Issued in FL
Legal business name
TREASURE COAST MEDICAL ASSOCIATES
Doing business as
Stuart Urgent Care
Practice address
3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone
(772) 692-8082
Fax
(772) 232-9383
NPI assigned
Sep 22, 2005
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Mr. Jonathan Michael Adelberg, MD, FAEPNPI 1225024417
Title
President/Ceo
Phone
(772) 692-8082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X ME68270 FL Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

3405 NW Federal Hwy
Jensen Beach, FL 34957

Mailing address

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

Other identifiers 1

IdentifierTypeStateIssuer
265204801MedicaidFL

Other names 1

  • Stuart Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000344 FL Part B Supplier - Clinic/Group Practice 6608768122 Receives reassigned benefits from 66 practitioners
1 other NPI on this enrollment
Practice locations: Jensen Beach, FL; Okeechobee, FL; Sebring, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1992791198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34957",
            "telephone_number": "772-692-8082",
            "fax_number": "772-232-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34957",
            "telephone_number": "772-692-8082",
            "fax_number": "772-232-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "ADELBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "772-692-8082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, FAEP"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME68270",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265204801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stuart Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.