JACK I NEWCOMER MD PA
NPI 1871743062
Family Medicine - Sports Medicine in Wellington, FL

Active since September 24, 2008
3319 STATE ROAD 7, SUITE 108, WELLINGTON, FL 33449(561) 798-2800(561) 793-6631 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack I Newcomer Md Pa NPPES

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

JACK I NEWCOMER MD PA (NPI 1871743062) is a healthcare organization registered as a sports medicine in Wellington, Florida and active in the NPI registry since September 2008. The organization lists Jack I Newcomer, Physician, as its authorized official.

NPPES Registry Identity

NPI1871743062
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameJACK I NEWCOMER MD PA
Location Address3319 STATE ROAD 7, SUITE 108Wellington, FL 33449-8094
Mailing Address3319 State Road 7, Suite 108Wellington, FL 33449-8094 · (561) 798-2800 · Fax (561) 793-6631
Fax(561) 793-6631
Organization SubpartNo
Authorized OfficialJack I NewcomerPhysician · (561) 798-2800
Enumeration DateSeptember 24, 2008
Last NPPES UpdateApril 7, 2014
✔ NPI 1871743062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in FL · ME0048252
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3319 STATE ROAD 7, Wellington, FL 33449

Other Identifiers 2

Medicare UPIND57261FL
Medicare PINAO851FL

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)

Jack I Newcomer 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 Jack I Newcomer MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1750498259
3319 STATE ROAD 7 STE 108
Wellington, FL 33449
(561) 798-2800
✔ 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 Jack I Newcomer MD PA's NPI number?

The NPI number for Jack I Newcomer MD PA is 1871743062. It was assigned to this organization in the NPPES registry on September 24, 2008.

Where is Jack I Newcomer MD PA located?

Jack I Newcomer MD PA is located at 3319 State Road 7 Suite 108, Wellington, FL 33449. The listed phone number is (561) 798-2800.

What is Jack I Newcomer MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jack I Newcomer MD PA enrolled in Medicare?

Yes. Jack I Newcomer MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack I Newcomer MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jack I Newcomer 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 Jack I Newcomer MD PA was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.