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
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

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

The NPI number assigned to this healthcare provider is 1235326471, enumerated as an "organization" on October 02, 2007.

The provider is located at 130 JOHN F KENNEDY DRIVE SUITE 134 ATLANTIS, FL 33462 and the phone number is (561) 439-0308.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Humana. Please consult your insurance carrier or call the provider to verify.