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

Active since October 02, 2007
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: October 18, 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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth S Jaffe Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenneth S Jaffe MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1174507529
130 JOHN F KENNEDY DR SUITE 134
Atlantis, FL 33462
(561) 439-0308
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Kenneth S Jaffe MD PA enrolled in Medicare?

Yes. Kenneth S Jaffe MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth S Jaffe MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kenneth S Jaffe MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.