Organization Active NPI

A.a.G.a. Medical Services Inc.

  • Pediatric Nephrology Physician
  • Plantation, FL
National Provider Identifier
1194792945
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
Legal business name
A.A.G.A. MEDICAL SERVICES INC.
Practice address
4330 W Broward Blvd
Suite P
Plantation, FL 33317-3775
Phone
(954) 587-0631
Fax
(954) 587-0632
NPI assigned
Mar 1, 2006
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Ashraf Haseef Beharrie, MDNPI 1417985888
Title
President
Phone
(954) 587-0631

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X NU Primary

Addresses

Primary practice location

4330 W Broward Blvd
Suite P
Plantation, FL 33317-3775

Mailing address

4330 W Broward Blvd
Suite P
Plantation, FL 33317-3775
Phone (954) 587-0631

Other identifiers 1

IdentifierTypeStateIssuer
252076100MedicaidFL

National Provider Directory

National Provider Directory

Locations

4330 W Broward Blvd
Ste P
Plantation, FL 33317
Phone (954) 587-0631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1194792945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W BROWARD BLVD",
            "address_2": "SUITE P",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173775",
            "telephone_number": "954-587-0631",
            "fax_number": "954-587-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W BROWARD BLVD",
            "address_2": "SUITE P",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173775",
            "telephone_number": "954-587-0631",
            "fax_number": "954-587-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.A.G.A. MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "BEHARRIE",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "HASEEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-587-0631",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252076100",
            "state": "FL"
        }
    ],
    "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 Feb 20, 2023; 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.