Organization Active NPI

Pediatrics PA

  • Primary Care Clinic/Center
  • Miramar, FL
National Provider Identifier
1053472019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME52086 Issued in FL
Legal business name
PEDIATRICS PA
Practice address
3220 S Douglas Rd Ste B
Miramar, FL 33025-2734
Phone
(954) 436-8444
Fax
(954) 436-1159
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rufus Joseph, M.D.NPI 1720069362
Title
President
Phone
(954) 436-8444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME52086 FL Primary

Addresses

Primary practice location

3220 S Douglas Rd Ste B
Miramar, FL 33025-2734

Mailing address

3220 S Douglas Rd Ste B
Miramar, FL 33025-2734
Phone (954) 436-8444

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
10D0873747Pediatrics PA3220 S Douglas Rd, Miramar, FL 33025Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Locations

6777 NW 7th Ave
Ste 24
Miami, FL 33150

6777 NW 7th Ave
Ste 23
Miami, FL 33150

3220 S Douglas Rd
#B
Miramar, FL 33025
Phone (954) 436-8444

3220 S Douglas Rd
#A
Miramar, FL 33025
Phone (954) 433-9923

Practitioners & affiliated clinicians

Practitioners 7

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053472019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S DOUGLAS RD STE B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252734",
            "telephone_number": "954-436-8444",
            "fax_number": "954-436-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S DOUGLAS RD STE B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252734",
            "telephone_number": "954-436-8444",
            "fax_number": "954-436-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RUFUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-436-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME52086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.