Aj Initiatives, LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

ME72650 Issued in FL

Legal business name

AJ INITIATIVES, LLC

Practice address

4631 Highlands Place Dr
Lakeland, FL 33813-2160

Phone

(863) 521-7105

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Jordan Eckert

Title

President

Phone

(863) 521-7105

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1154615326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 HIGHLANDS PLACE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 HIGHLANDS PLACE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132160",
            "telephone_number": "863-521-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ INITIATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-521-7105"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "ME72650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011160100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rany N Ahmad, FNP
• Faria Ahmed, MD
• Umair Syed Ahmed, M.D.
• Henna Ahsan, M.D.
• Aim to Please Companion Services LLC
• Sima Akbarpour, PHARMD
• Bridgett Akins
• Ayham Al Momani, RDH
• Mohamed Alaidy, DPT
• Sena Alamari, FNP

• All providers in Lakeland, FL
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.