Organization Active NPI

Pasadena Pediatrics, P.a.

  • Pediatric Adolescent Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1104928183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME52086 Issued in FL
Legal business name
PASADENA PEDIATRICS, P.A.
Practice address
2476 N University Dr
Pembroke Pines, FL 33024-3624
Phone
(954) 436-0068
Fax
(954) 431-5006
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rufus Joseph
Title
Owner
Phone
(954) 436-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X ME52086 FL Primary

Addresses

Primary practice location

2476 N University Dr
Pembroke Pines, FL 33024-3624

Mailing address

2476 N University Dr
Pembroke Pines, FL 33024-3624
Phone (954) 436-0068

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1034509Pasadena Pediatrics PA2476 N University Dr, Pembroke Pines, FL 33024Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pasadena Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2476 N University Dr
Pembroke Pines, FL 33024
Phone (954) 436-0068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104928183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243624",
            "telephone_number": "954-436-0068",
            "fax_number": "954-431-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243624",
            "telephone_number": "954-436-0068",
            "fax_number": "954-431-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RUFUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-436-0068",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME52086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.