Organization Active NPI

Margate Pediatrics PA

  • Pediatrics Physician
  • Margate, FL
National Provider Identifier
1013110790
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME83289
Legal business name
MARGATE PEDIATRICS PA
Practice address
5100 West Copans Road
Suite 800
Margate, FL 33063
Phone
(954) 975-4611
Fax
(954) 975-4079
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Dr. Aliya Asad, M.D.NPI 1417947854
Title
President
Phone
(954) 975-4611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME83289 FL
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X ME83289 Primary

Addresses

Primary practice location

5100 West Copans Road
Suite 800
Margate, FL 33063

Mailing address

5100 West Copans Road
Suite 800
Margate, FL 33063
Phone (954) 975-4611

Other identifiers 3

IdentifierTypeStateIssuer
1417947854OtherFLPERSONAL NPI #
265466100MedicaidFL
ME83289OtherFLSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424000860 FL Part B Supplier - Clinic/Group Practice 6002052743 Receives reassigned benefits from 1 practitioner
Practice locations: Margate, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0868706Margate Pediatrics PA5100 W Copans Rd #800, Margate, FL 33063Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5100 W Copans Rd
Ste 800
Margate, FL 33063
Phone (954) 975-4611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1013110790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WEST COPANS ROAD",
            "address_2": "SUITE 800",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-975-4611",
            "fax_number": "954-975-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WEST COPANS ROAD",
            "address_2": "SUITE 800",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-975-4611",
            "fax_number": "954-975-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGATE PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "ASAD",
        "authorized_official_first_name": "ALIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-975-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME83289",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": "ME83289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI #",
            "identifier": "1417947854",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265466100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME83289",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.