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KENNETH S JAFFE MD PA
NPI 1235326471
Internal Medicine - Geriatric Medicine in Atlantis, FL

Active since October 02, 2007CLIA 10D1011816 · Waiver
130 JOHN F KENNEDY DRIVE, SUITE 134, ATLANTIS, FL 33462(561) 439-0308(561) 439-0371 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth S Jaffe Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH S JAFFE MD PA (NPI 1235326471) is a healthcare organization registered as a geriatric medicine in Atlantis, Florida and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Kenneth Scott Jaffe, Doctor President, as its authorized official.

NPPES Registry Identity

NPI1235326471
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameKENNETH S JAFFE MD PA
Location Address130 JOHN F KENNEDY DRIVE, SUITE 134Atlantis, FL 33462
Mailing Address130 Jfk Drive, Suite 134Atlantis, FL 33462 · (561) 439-0308 · Fax (561) 439-0371
Phone(561) 439-0308
Fax(561) 439-0371
Organization SubpartNo
Authorized OfficialKenneth Scott JaffeDoctor President · (561) 439-0308
Enumeration DateOctober 2, 2007
Last NPPES UpdateFebruary 3, 2012
✔ NPI 1235326471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition

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.

130 JOHN F KENNEDY DRIVE, Atlantis, FL 33462
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Other Identifiers 5

Other97340FL · Bcbsfl
Medicaid260146000FL
Other269348FL · Avmed
Other110233181FL · Railroad Medicare
Medicare PINK4207FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1011816

Kenneth S Jaffe MD PA · Lake Worth, FL
Active · expires Apr 22, 2027
CLIA Number10D1011816
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorKenneth S. Jaffee
Laboratory Phone(561) 439-0308
Laboratory LocationKenneth S Jaffe MD PA7138 Lake Worth Rd, Ste A, Lake Worth, FL 33467
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth S Jaffe MD PA's NPI number?

The NPI number for Kenneth S Jaffe MD PA is 1235326471. It was assigned to this organization in the NPPES registry on October 2, 2007.

Where is Kenneth S Jaffe MD PA located?

Kenneth S Jaffe MD PA is located at 130 John F Kennedy Drive Suite 134, Atlantis, FL 33462. The listed phone number is (561) 439-0308.

What is Kenneth S Jaffe MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Kenneth S Jaffe MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1011816) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth S Jaffe MD PA was last updated on February 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.