Individual provider Active NPI

Warren Jay Streisand, MD

  • Urology Physician
  • Tamarac, FL
National Provider Identifier
1164404182
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME19696 Issued in FL
Practice address
7421 University Drive
Suite 106
Tamarac, FL 33321-2952
Phone
(954) 722-0150
Fax
(954) 722-0188
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME19696 FL Primary

Addresses

Primary practice location

7421 University Drive
Suite 106
Tamarac, FL 33321-2952

Mailing address

7421 University Drive
Suite 106
Tamarac, FL 33321-2952
Phone (954) 722-0150

Other identifiers 1

IdentifierTypeStateIssuer
054914200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1164404182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 UNIVERSITY DRIVE",
            "address_2": "SUITE 106",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212952",
            "telephone_number": "954-722-0150",
            "fax_number": "954-722-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 UNIVERSITY DRIVE",
            "address_2": "SUITE 106",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212952",
            "telephone_number": "954-722-0150",
            "fax_number": "954-722-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREISAND",
        "first_name": "WARREN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME19696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054914200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.