Provider Demographics
NPI:1144396086
Name:NURENBERG, JEFFRY RAUL (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFRY
Middle Name:RAUL
Last Name:NURENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11911 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2827
Mailing Address - Country:US
Mailing Address - Phone:561-497-9474
Mailing Address - Fax:561-491-2694
Practice Address - Street 1:11911 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2827
Practice Address - Country:US
Practice Address - Phone:561-497-9474
Practice Address - Fax:561-491-2694
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1375272084P0800X
NY1061412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ051324C2EOtherMEDICARE BILLING NO.
NJNU051324Medicaid
NJNU051324Medicaid
NJNU051324Medicaid