Organization Active NPI

Healthfair Plus de PA

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1073923876
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTHFAIR PLUS DE PA
Practice address
1000 N West St
Suite 1200
Wilmington, DE 19801-1050
Phone
(407) 672-0919
NPI assigned
May 1, 2014
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Ray Ekbatani
Title
Chief Administrative Officer
Phone
(407) 672-0919

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Ophthalmology Physician 207W00000X NU
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

1000 N West St
Suite 1200
Wilmington, DE 19801-1050

Mailing address

1030 Spring Villas PT Ste 3000
Winter Springs, FL 32708-6621
Phone (407) 672-0919

National Provider Directory

National Provider Directory

Locations

1890 State Road 436
Ste 319
Winter Park, FL 32792
Phone (855) 755-8378

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1073923876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SPRING VILLAS PT STE 3000",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086621",
            "telephone_number": "407-672-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WEST ST",
            "address_2": "SUITE 1200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011050",
            "telephone_number": "407-672-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFAIR PLUS DE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "EKBATANI",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "407-672-0919"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.