Organization Active NPI

Thomas John Zaydon Jr MD PA

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1073798591
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME0044137 Issued in FL
Legal business name
THOMAS JOHN ZAYDON JR MD PA
Practice address
3661 S Miami Ave Ste 509
Miami, FL 33133-4200
Phone
(305) 856-3030
Fax
(305) 285-9423
NPI assigned
Jan 3, 2008
Organization subpart
Yes
Parent organization
THOMAS JOHN ZAYDON JR MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Thomas John Zaydon Jr., MDNPI 1265428809
Title
Owner
Phone
(305) 856-3030

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME0044137 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 509
Miami, FL 33133-4200

Mailing address

3661 S Miami Ave Ste 509
Miami, FL 33133-4200
Phone (305) 856-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000949 FL Part B Supplier - Clinic/Group Practice 0648298026 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Part of
Thomas J Zaydon Jr MD

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1073798591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 509",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334200",
            "telephone_number": "305-856-3030",
            "fax_number": "305-285-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 509",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334200",
            "telephone_number": "305-856-3030",
            "fax_number": "305-285-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JOHN ZAYDON JR MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS JOHN ZAYDON JR MD PA",
        "enumeration_date": "2008-01-03",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "ZAYDON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-856-3030",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0044137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.

Verify at the official NPI Registry.