Organization Active NPI

TJ Hand and Upper Extremity Surgery PLLC

  • Orthopaedic Hand Surgery Physician
  • Plantation, FL
National Provider Identifier
1164004347
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
TJ HAND AND UPPER EXTREMITY SURGERY PLLC
Practice address
4101 NW 3Rd CT Ste 5
Plantation, FL 33317-2830
Phone
(954) 703-1987
Fax
(800) 507-3145
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Authorized official

Name
Tamara John, MDNPI 1760829113
Title
Owner
Phone
(585) 802-7527

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

4101 NW 3Rd CT Ste 5
Plantation, FL 33317-2830

Mailing address

PO Box 121041
Fort Lauderdale, FL 33312-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211220000240 FL Part B Supplier - Clinic/Group Practice 5395136790 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL; Tamarac, FL
O20240709004618 FL DME Supplier - Physician - Hand Surgery 5395136790 Practice locations: Tamarac, FL

National Provider Directory

National Provider Directory

Locations

4101 S Hospital Dr
Ste 5
Plantation, FL 33317
Phone (954) 321-7762

7710 NW 71st Ct
Ste 201
Tamarac, FL 33321
Phone (561) 790-0031

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": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1164004347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121041",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333120009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 3RD CT STE 5",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172830",
            "telephone_number": "954-703-1987",
            "fax_number": "800-507-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ HAND AND UPPER EXTREMITY SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-802-7527",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.