Organization Active NPI

Mohammad T Javed, MD PA

  • Primary Care Clinic/Center
  • Belle Glade, FL
National Provider Identifier
1104221910
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0071079 Issued in FL
Legal business name
MOHAMMAD T JAVED, MD PA
Practice address
25 SE MLK Blvd
Belle Glade, FL 33430-4044
Phone
(561) 983-8571
Fax
(561) 204-5150
NPI assigned
Oct 23, 2014
Last updated
Oct 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Mohammad T Javed, MDNPI 1730125170
Title
Ownder
Phone
(561) 339-5909

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
Primary Care Clinic/Center 261QP2300X ME0071079 FL Primary

Addresses

Primary practice location

25 SE MLK Blvd
Belle Glade, FL 33430-4044

Mailing address

25 SE MLK Blvd
Belle Glade, FL 33430-4044
Phone (561) 983-8571

National Provider Directory

National Provider Directory
Tax ID family
Mohammad T Javed MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1104221910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SE MLK BLVD",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304044",
            "telephone_number": "561-983-8571",
            "fax_number": "561-204-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SE MLK BLVD",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304044",
            "telephone_number": "561-983-8571",
            "fax_number": "561-204-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD T JAVED, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "561-339-5909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0071079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.