Active NPI
Sandeep Jain MD PA
- Pulmonary Disease Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME65687
- Legal business name
- SANDEEP JAIN MD PA
- Practice address
- 300 NW 70TH Ave Ste 107
Plantation, FL 33317-2360 - Phone
- (954) 530-0848
- Fax
- (954) 791-5305
- NPI assigned
- Feb 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandeep Jain
- Title
- President/Owner
- Phone
- (954) 530-0848
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | ME65687 | FL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
300 NW 70TH Ave Ste 107
Plantation, FL 33317-2360
Mailing address
300 NW 70TH Ave Ste 107
Plantation, FL 33317-2360
Phone (954) 530-0848
Other practice location 1
255 SE 14th St Ste 1B
Fort Lauderdale, FL 33316-1852
Phone (954) 530-0848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2951 NW 49th Ave
Ste 202
Lauderdale Lakes, FL 33313
Phone (954) 486-1250
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Plantation, FL
- NPI 1619945359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1033358262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 NW 70TH AVE STE 107",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172360",
"telephone_number": "954-530-0848",
"fax_number": "954-791-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NW 70TH AVE STE 107",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172360",
"telephone_number": "954-530-0848",
"fax_number": "954-791-5305"
}
],
"practiceLocations": [
{
"address_1": "255 SE 14th St Ste 1B",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333161852",
"country_code": "US",
"telephone_number": "954-530-0848",
"fax_number": "954-791-5305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SANDEEP JAIN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-11",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "SANDEEP",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "954-530-0848"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME65687",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.