Organization Active NPI

Edward N. Smolar, MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Lauderdale, FL
National Provider Identifier
1063961639
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME16517 Issued in FL
Legal business name
EDWARD N. SMOLAR, MD PA
Practice address
3075 E Commercial Blvd
Suite 1a
Fort Lauderdale, FL 33308-4318
Phone
(954) 491-6200
Fax
(954) 491-6419
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Edward Smolar, MD
Title
President
Phone
(954) 491-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X ME16517 FL Primary

Addresses

Primary practice location

3075 E Commercial Blvd
Suite 1a
Fort Lauderdale, FL 33308-4318

Mailing address

3075 E Commercial Blvd
Suite 1a
Fort Lauderdale, FL 33308-4318
Phone (954) 491-6200

Other identifiers 1

IdentifierTypeStateIssuer
ME16517OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

3075 E Commercial Blvd
Ste 1A
Ft Lauderdale, FL 33308
Phone (954) 491-6200

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1063961639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 E COMMERCIAL BLVD",
            "address_2": "SUITE 1A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084318",
            "telephone_number": "954-491-6200",
            "fax_number": "954-491-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 E COMMERCIAL BLVD",
            "address_2": "SUITE 1A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084318",
            "telephone_number": "954-491-6200",
            "fax_number": "954-491-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD N. SMOLAR, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "SMOLAR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-491-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME16517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME16517",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.