KENNETH S JAFFE MD PA NPI 1235326471

NPI Information

NPI: 1235326471
Provider Name: KENNETH S JAFFE MD PA
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
130 JOHN F KENNEDY DRIVE
SUITE 134
ATLANTIS, FL
ZIP 33462
Phone: (561) 439-0308
Get Directions

KENNETH S JAFFE MD PA is a geriatric medicine internal medicine in Atlantis, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. KENNETH S JAFFE MD PA NPI is 1235326471. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 JOHN F KENNEDY DRIVE
SUITE 134
ATLANTIS, FL
ZIP 33462
Phone: (561) 439-0308
Fax: (561) 439-0371

The provider's authorized official is Kenneth Scott Jaffe .
The authorized official title is Doctor President and has the following contact phone number (561) 439-0308.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 2/3/2012.

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
1	207RG0300X	Internal Medicine	Geriatric Medicine			Yes

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
1	97340	OTHER	FLORIDA	BCBSFL
2	260146000	MEDICAID	FLORIDA
3	269348	OTHER	FLORIDA	AVMED
4	=========	OTHER	FLORIDA	HUMANA MEDICARE
5	110233181	OTHER	FLORIDA	RAILROAD MEDICARE
6	K4207	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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