KENNETH S. JAFFE, M.D., P.A. (NPI# 1629227269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629227269 |
| Entity Type | Organization |
| Organization Name | KENNETH S. JAFFE, M.D., P.A. |
| Practice Address |
10301 Hagen Ranch Rd Suite B-550 Boynton Beach FL 33437-3724 |
| Mailing Address |
130 Jfk Dr Suite 134 Atlantis FL 33462-1141 |
| Practice Telephone | 5613748677 |
| Practice Fax Number | 5613748796 |
| Mailing Telephone | 5614390308 |
| Mailing Fax Number | 5614390371 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | DR. KENNETH SCOTT JAFFE (PRESIDENT) |
| Authorized Official Telephone | 5614390308 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 110233181 | 01 |
| FL | AVMED | 269348 | 01 |
| FL | 260146000 | 05 | |
| FL | BCBSFL | 97340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518210814 | Kenneth S. Jaffe, M.d., P.a. | Internal Medicine | 7138 Lake Worth Rd, Lake Worth, FL 33467-2970 | 2012-10-24 |
| Street Address |
10301 HAGEN RANCH RD SUITE B-550 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557989 | William S. Berman, M.d., P.a. | Specialist | 10301 Hagen Ranch Rd, Suite 3, Boynton Beach, FL 33437-3724 | 2005-08-31 |
| 1285263749 | Camille Marie Sharkey | Nurse Practitioner | 10301 Hagen Ranch Rd, Boynton Beach, FL 33437-3724 | 2020-04-06 |
| 1245650720 | Lawrence S. Amesse Md, Pa | Obstetrics & Gynecology | 10301 Hagen Ranch Rd, Suite 6, Boynton Beach, FL 33437-3724 | 2014-04-23 |
| 1881021947 | Atlantic Reproductive Associates, LLC | Clinic/Center | 10301 Hagen Ranch Rd, Suite 6, Boynton Beach, FL 33437-3724 | 2013-10-03 |
| 1649607136 | Jilleen M. Pannozzo, D.o., P.a. | Psychiatry & Neurology | 10301 Hagen Ranch Rd, Suite 7, Boynton Beach, FL 33437-3724 | 2013-09-30 |
| 1255771200 | Elizabeth Ronan Sheldon | Nurse Practitioner | 10301 Hagen Ranch Rd, Suite A920, Boynton Beach, FL 33437-3724 | 2013-07-04 |
| 1306281910 | Your Beautiful Smile, LLC | Dentist | 10301 Hagen Ranch Rd, Suite C140, Boynton Beach, FL 33437-3724 | 2013-05-09 |
| 1952660425 | Melanie Lynne Burke | Obstetrics & Gynecology | 10301 Hagen Ranch Rd, Suite B740, Boynton Beach, FL 33437-3724 | 2012-05-03 |
| 1083924963 | Allison Hock Cassedy | Physician Assistant | 10301 Hagen Ranch Rd, Boynton Beach, FL 33437-3724 | 2010-10-13 |
| 1861709974 | Kristen Zoppi | Physician Assistant | 10301 Hagen Ranch Rd, Boynton Beach, FL 33437-3724 | 2010-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447507249 | Robert Alexander Bregman | Internal Medicine | 10301 Hagen Ranch Rd Ste 600, Boynton Beach, FL 33437-3750 | 2012-08-10 |
| 1568419877 | Jan J Dobrowolski | Internal Medicine | 9868 S State Road 7 Ste 325, Boynton Beach, FL 33472-4477 | 2006-05-30 |
| 1689674574 | Deborah A Friedlander | Internal Medicine | 8200 Jog Rd, Suite 204, Boynton Beach, FL 33472-2981 | 2005-07-21 |
| 1912085325 | Michelle Marie Thompson | Internal Medicine | 1901 S Congress Ave Ste 420, Boynton Beach, FL 33426-6588 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087722 | Norma Leticia Goodrich | Internal Medicine | 19265 Nw 252nd St, Okeechobee, FL 34972-6966 | 2020-09-14 |
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.