Provider Type Icon

JRJ PODIATRY INC NPI 1083610638


NPI Information

NPI: 1083610638
Provider Name: JRJ PODIATRY INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4000 N STATE ROAD 7
STE 412
LAUDERDALE LAKES, FL
ZIP 33319
Phone: (954) 731-0028
Get Directions

JRJ PODIATRY INC is a podiatrist in Lauderdale Lakes, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. JRJ PODIATRY INC NPI is 1083610638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4000 N STATE ROAD 7
STE 412
LAUDERDALE LAKES, FL
ZIP 33319-882
Phone: (954) 731-0028
Fax: (954) 731-0288

The provider's authorized official is Jeanette R Johnson .
The authorized official title is Owner/president and has the following contact phone number (954) 731-0028.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 12/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristPO2654FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K1882MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP PROVIDER NUMBER
2480027236MEDICARE ID-TYPE UNSPECIFIEDFLORIDARAILROAD MEDICARE
31283100001MEDICARE NSCFLORIDA
4390400801MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.