Jay S. Chandar, MD, PA

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

ME50375 Issued in FL

Legal business name

JAY S. CHANDAR, MD, PA

Practice address

3850 Hollywood Blvd
Suite 202
Hollywood, FL 33021-6700

Phone

(954) 894-4115

Fax

(954) 894-2116

NPI assigned

Oct 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jay S. Chandar, M.D.,

Title

President

Phone

(954) 894-4115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Childrens Cardiac Center, PA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1003168451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD",
            "address_2": "SUITE 202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216700",
            "telephone_number": "954-894-4115",
            "fax_number": "954-894-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD",
            "address_2": "SUITE 202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216700",
            "telephone_number": "954-894-4115",
            "fax_number": "954-894-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S. CHANDAR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "CHANDAR",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-894-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME50375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046625502",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Cardiac Center, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Cardiology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Pediatric Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.