NPIMap

Organization Active NPI

Nafisa Tejpar, MD PA

  • Surgery Physician
  • Maitland, FL
National Provider Identifier
1083942023
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME32524 Issued in FL
Legal business name
NAFISA TEJPAR, MD PA
Practice address
221 Shell PT W
Maitland, FL 32751-5847
Phone
(407) 644-3622
Fax
(407) 644-1334
NPI assigned
Dec 3, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nafisa Tejpar, M.D.NPI 1902818909
Title
President
Phone
(407) 644-3622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME32524 FL Primary

Addresses

Primary practice location

221 Shell PT W
Maitland, FL 32751-5847

Mailing address

221 Shell PT W
Maitland, FL 32751-5847
Phone (407) 644-3622

Other identifiers 1

IdentifierTypeStateIssuer
036883100MedicaidFL

National Provider Directory

National Provider Directory

Locations

2501 N Orange Ave
Ste 513
Orlando, FL 32804
Phone (407) 303-0410

Practitioners & affiliated clinicians

Practitioners 7

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083942023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SHELL PT W",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515847",
            "telephone_number": "407-644-3622",
            "fax_number": "407-644-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SHELL PT W",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515847",
            "telephone_number": "407-644-3622",
            "fax_number": "407-644-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAFISA TEJPAR, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TEJPAR",
        "authorized_official_first_name": "NAFISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-644-3622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME32524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036883100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.