Orfaly Medical Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ORFALY MEDICAL PROFESSIONAL CORPORATION

Doing business as

Broadway Elite Medical

Practice address

3200 Broadway Blvd Ste 180
Garland, TX 75043-1572

Phone

(469) 745-1952

Fax

(469) 745-1953

NPI assigned

May 16, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hayan Orfaly, MDNPI 1396771259

Title

Owner

Phone

(469) 745-1952

Specialties & licenses 1

Addresses

Other names 1

• Broadway Elite Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hayan A. Orfaly, MD

  • Internal Medicine Physician
  • Addison, TX
  • NPI 1396771259
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1013573948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431572",
            "telephone_number": "469-745-1952",
            "fax_number": "469-745-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431572",
            "telephone_number": "469-745-1952",
            "fax_number": "469-745-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORFALY MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "ORFALY",
        "authorized_official_first_name": "HAYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-745-1952",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Elite Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Garland, TX
• Providers in Garland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.