Tazkiyah Health Institute Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME121227 Issued in FL

Legal business name

TAZKIYAH HEALTH INSTITUTE INC

Doing business as

Moyenda Medical Associates

Practice address

220 S Dixie Hwy Ste 4
Lake Worth, FL 33460-4153

Phone

(954) 774-1414

NPI assigned

Apr 18, 2018

Last updated

Apr 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zakiya Bomani Moyenda, MDNPI 1073878138

Title

Owner

Phone

(954) 774-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moyenda Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Zakiya Bomani Moyenda, M.D.

  • Adult Medicine Physician
  • Lake Worth, FL
  • NPI 1073878138
  Medicare reassignment Authorized official
• Jimmy Dorival, APRN

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1114372596
  Medicare reassignment NPD

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1104313816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10276 OAK MEADOW LN STE 1A",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495467",
            "telephone_number": "954-774-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S DIXIE HWY STE 4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604153",
            "telephone_number": "954-774-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10276 Oak Meadow Ln Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334495467",
            "country_code": "US",
            "telephone_number": "954-774-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAZKIYAH HEALTH INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-04-19",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "MOYENDA",
        "authorized_official_first_name": "ZAKIYA",
        "authorized_official_middle_name": "BOMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-774-1414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015182600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moyenda Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moyenda Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anneli Taylor
• Dawn Kimberly Taylor, LMT
• Iner Daram Taylor, PHARM. D.
• Lytoya Taylor
• Max Taylor, PHARM D.
• Tclearypt LLC
• TD Healthcare Services LLC
• TDC Lantana LLC
• Ariel Teijeiro
• Tel-Med MD LLC

• Family Medicine Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.