NPIMap

Organization Active NPI

Vip Surgeries

  • Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1174170914
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VIP SURGERIES
Practice address
1301 E Broward Blvd Ste 220
Fort Lauderdale, FL 33301-2111
Phone
(954) 595-2292
Fax
(754) 216-0788
NPI assigned
Aug 26, 2019
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHO VIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Dr. Kam Habibi, DO
Title
Owner
Phone
(754) 216-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1301 E Broward Blvd Ste 220
Fort Lauderdale, FL 33301-2111

Mailing address

1301 E Broward Blvd Ste 220
Fort Lauderdale, FL 33301-2111

National Provider Directory

National Provider Directory
Part of
Vip Surgeries

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1174170914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E BROWARD BLVD STE 220",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E BROWARD BLVD STE 220",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012111",
            "telephone_number": "954-595-2292",
            "fax_number": "754-216-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP SURGERIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO VIP",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "HABIBI",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-216-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.