Israel Jonathan Tchaban, M.D., S.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

08-121 Issued in FL

Practice address

7100 W 20TH Ave
Hialeah, FL 33016-1897

Phone

(305) 823-9120

Fax

(305) 824-8839

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1053579037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18061 BISCAYNE BLVD APT 1901",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605278",
            "telephone_number": "786-417-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-823-9120",
            "fax_number": "305-824-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHABAN",
        "first_name": "ISRAEL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D., S.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "08-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.