Organization Active NPI

Express MD

  • Urgent Care Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1073953584
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME71079 Issued in FL
Legal business name
EXPRESS MD
Practice address
6447 Lake Worth Rd
Lake Worth, FL 33463-3007
Phone
(561) 433-1700
Fax
(561) 642-7587
NPI assigned
Jun 28, 2013
Last updated
Jul 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Dr. Mohammad T Javed, MDNPI 1730125170
Title
Doctor
Phone
(561) 433-1700

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
Urgent Care Clinic/Center 261QU0200X ME71079 FL Primary

Addresses

Primary practice location

6447 Lake Worth Rd
Lake Worth, FL 33463-3007

Mailing address

6447 Lake Worth Rd
Lake Worth, FL 33463-3007
Phone (561) 433-1700

Other identifiers 1

IdentifierTypeStateIssuer
252537200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150508001612 FL Part B Supplier - Clinic/Group Practice 7719206937 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, FL; Royal Palm Beach, FL; Lake Worth, FL

National Provider Directory

National Provider Directory

Locations

25 SE Mlk Blvd
Belle Glade, FL 33430
Phone (561) 433-1700

6447 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 204-5111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1073953584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334633007",
            "telephone_number": "561-433-1700",
            "fax_number": "561-642-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334633007",
            "telephone_number": "561-433-1700",
            "fax_number": "561-642-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-433-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME71079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252537200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

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