Javedul Haque (NPI# 1740253343, PAC ID# 9032159801) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1740253343 |
| PAC ID by PECOS | 9032159801 |
| Professional Enrollment ID | I20091111000757 |
| Full Name | Javedul Haque |
| Organization Legal Name | THE CLINIC, LLC |
| Address |
224 Chimney Corner Ln Suite 2022 Jupiter FL 33458-4801 |
| Phone Number | 5613453997 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7416146451 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100176 | PALM BEACH GARDENS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 224 Chimney Corner Ln, Suite 2022, Jupiter, FL 33458-4801 | 5613453997 | THE CLINIC, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% |
| Organization Legal Name | THE CLINIC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faranza Malik | Internal Medicine | The Clinic, LLC | 224 Chimney Corner Ln, Suite 2022, Jupiter, FL 33458-4801 |
| Street Address |
224 CHIMNEY CORNER LN SUITE 2022 |
| City | JUPITER |
| State | FL |
| Zip | 33458-4801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faranza Malik | Internal Medicine | The Clinic, LLC | 224 Chimney Corner Ln, Suite 2022, Jupiter, FL 33458-4801 |
| Ejaz Nemat | Hospitalist | 224 Chimney Corner Ln, Suite 2022, Jupiter, FL 33458-4801 | |
| Craig O Carter | Certified Registered Nurse Anesthetist (crna) | Jupiter Anesthesia Associates LLC | 224 Chimney Corner Ln, Suite 1026, Jupiter, FL 33458-4801 |
| Thomas Folsom | Certified Registered Nurse Anesthetist | Jupiter Anesthesia Associates LLC | 224 Chimney Corner Ln, Suite 1026, Jupiter, FL 33458-4801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Otero | Allergy/immunology | 500 University Blvd, Suite 116, Jupiter, FL 33458-2774 | |
| Marissa E Land | Qualified Audiologist | South Florida Ent Associates Inc | 500 University Blvd, Suite 208, Jupiter, FL 33458-2775 |
| Mark T Agrama | Otolaryngology | South Florida Ent Associates Inc | 500 University Blvd, Suite 208, Jupiter, FL 33458-2775 |
| Karen Lynn Riepe | Nurse Practitioner | South Florida Ent Associates Inc | 500 University Blvd, Suite 208, Jupiter, FL 33458-2775 |
| Gabriella Bonomo | Internal Medicine | 500 University Blvd, Suite 201, Jupiter, FL 33458-2775 | |
| Chauncey W Crandall | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 600 University Blvd, Suite 200, Jupiter, FL 33458-2778 |
| Lia A Demeter | Nurse Practitioner | Jupiter Internal Medicine Associates Pa | 600 University Blvd, Suite 105, Jupiter, FL 33458-2778 |
| Burton Greenberg | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 600 University Blvd, Suite 200, Jupiter, FL 33458-2778 |
| Katherine Jane Hnis | Nurse Practitioner | House Call Specialists LLC | 600 University Blvd, Suite 105, Jupiter, FL 33458-2778 |
| Elizabeth Hagan | Physician Assistant | Robert J. Anderson Md Pa | 600 University Blvd, Suite 101, Jupiter, FL 33458-2778 |
| Find all physicians in zip 33458 | |||
| City | JUPITER |
| Zip Code | 33458 |
| Specialty | PSYCHIATRY |
| City + Specialty | JUPITER + PSYCHIATRY |
Please comment or provide details below to improve the information on Javedul Haque.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.