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ISRAEL L. WACKS, M.D., P.A.
NPI 1366745523
Internal Medicine - Nephrology in Jupiter, FL

Active since December 09, 2010CLIA 10D0990069 · Waiver
210 JUPITER LAKES BLVD, STE 5201, JUPITER, FL 33458(561) 743-2450(561) 744-7090 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Israel L. Wacks, M.d., P.a. NPPES

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

ISRAEL L. WACKS, M.D., P.A. (NPI 1366745523) is a healthcare organization registered as a nephrology in Jupiter, Florida and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Israel Louis Wacks, President, as its authorized official.

NPPES Registry Identity

NPI1366745523
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameISRAEL L. WACKS, M.D., P.A.
Location Address210 JUPITER LAKES BLVD, STE 5201Jupiter, FL 33458-7191
Mailing AddressPo Box 221311West Palm Beach, FL 33422-1311
Phone(561) 743-2450
Fax(561) 744-7090
Organization SubpartNo
Authorized OfficialIsrael Louis WacksPresident · (561) 743-2450
Enumeration DateDecember 9, 2010
Last NPPES UpdateDecember 13, 2016
✔ NPI 1366745523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME0053751
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
210 JUPITER LAKES BLVD, Jupiter, FL 33458
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN10864FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D0990069

Israel L Wacks MD PA · Jupiter, FL
Active · expires Aug 13, 2027
CLIA Number10D0990069
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorIsrael L. Wacks
Laboratory Phone(561) 743-2450
Laboratory LocationIsrael L Wacks MD PA210 Jupiter Lakes Blvd Ste 5201, Jupiter, FL 33458
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENERAL SURGERY OF JUPITER MEDICAL SPECIALISTS, LLC
Surgery
210 JUPITER LAKES BLVD, BLDG 3000, #105
JUPITER, FL 33458
Palm Beach County (561) 575-7875
MR. ROBERT VOORHEES JR.
Physical Therapist
210 JUPITER LAKES BLVD, SUITE 5101
JUPITER, FL 33458
Palm Beach County (561) 741-1876
MRS. KAREN JANE COLWELL MA OTRL CLT
Occupational Therapist
210 JUPITER LAKES BLVD, SUITE 102
JUPITER, FL 33458
Palm Beach County (561) 741-1876
DR. AMMAR ALMAKKEE MD
Internal Medicine (Nephrology)
210 JUPITER LAKES BLVD, BLDG 3000, SUITE 201
JUPITER, FL 33458
Palm Beach County (561) 908-6299
MANDY ETCHEVERRY P.T.
Physical Therapist
210 JUPITER LAKES BLVD, BUILDING 5000 SUITE 101
JUPITER, FL 33458
Palm Beach County (561) 741-1876
MRS. MARIYA YANKELEVYCH
Nurse Practitioner
210 JUPITER LAKES BLVD, SUITE 4104
JUPITER, FL 33458
Palm Beach County (561) 743-9077
JARED L BRUNK PA-C
Physician Assistant (Medical)
210 JUPITER LAKES BLVD, STE. 5105
JUPITER, FL 33458
Palm Beach County (561) 748-4445
STRICTLY SHOULDERS, INC
Physical Therapist
210 JUPITER LAKES BLVD, BLDG. 4000 SUITE 106A
JUPITER, FL 33458
Palm Beach County (561) 312-9992

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 Israel L. Wacks, M.D., P.A.'s NPI number?

The NPI number for Israel L. Wacks, M.D., P.A. is 1366745523. It was assigned to this organization in the NPPES registry on December 9, 2010.

Where is Israel L. Wacks, M.D., P.A. located?

Israel L. Wacks, M.D., P.A. is located at 210 Jupiter Lakes Blvd Ste 5201, Jupiter, FL 33458. The listed phone number is (561) 743-2450.

What is Israel L. Wacks, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Israel L. Wacks, M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0990069) is associated with this NPI, valid through August 13, 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 Israel L. Wacks, M.D., P.A. was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.