Individual provider Active NPI

Peter David Sarbone, M.D.

  • Dermatology Physician
  • Oakland Park, FL
National Provider Identifier
1194841155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME39384 Issued in FL
Practice address
5601 N Dixie Hwy
Suite 401
Oakland Park, FL 33334-4148
Phone
(954) 491-4304
Fax
(954) 491-4350
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME39384 FL Primary

Addresses

Primary practice location

5601 N Dixie Hwy
Suite 401
Oakland Park, FL 33334-4148

Mailing address

5601 N Dixie Hwy
Suite 401
Oakland Park, FL 33334-4148
Phone (954) 491-4304

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194841155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "SUITE 401",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-491-4304",
            "fax_number": "954-491-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N DIXIE HWY",
            "address_2": "SUITE 401",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344148",
            "telephone_number": "954-491-4304",
            "fax_number": "954-491-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARBONE",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME39384",
            "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 8, 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.