Organization Active NPI

North Ridge Internal Medicine Associates PA

  • Internal Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1164446746
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH RIDGE INTERNAL MEDICINE ASSOCIATES PA
Practice address
5601 N Dixie Hwy
Suite 412
Oakland Park, FL 33334-4148
Phone
(954) 491-2140
Fax
(954) 491-9640
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Alan Bloom, M.D.
Title
Owner
Phone
(954) 491-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5601 N Dixie Hwy
Suite 412
Oakland Park, FL 33334-4148

Mailing address

5601 N Dixie Hwy
Suite 412
Oakland Park, FL 33334-4148
Phone (954) 491-2140

National Provider Directory

National Provider Directory

Locations

5601 N Dixie Hwy
Ste 412
Oakland Park, FL 33334
Phone (954) 491-2140

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1164446746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "SUITE 412",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-491-2140",
            "fax_number": "954-491-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "SUITE 412",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-491-2140",
            "fax_number": "954-491-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIDGE INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-491-2140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.