Organization Active NPI

Jaffer Medical Group, PA

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1235421884
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47178 Issued in FL
Legal business name
JAFFER MEDICAL GROUP, PA
Practice address
601 N Flamingo Road
Suite 304
Pembroke Pines, FL 33028
Phone
(954) 433-3114
Fax
(954) 433-1179
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Mrs. Fauzia M Jaffer
Title
Vice President & Cfo
Phone
(954) 433-3114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47178 FL Primary

Addresses

Primary practice location

601 N Flamingo Road
Suite 304
Pembroke Pines, FL 33028

Mailing address

601 N Flamingo Road
Suite 304
Pembroke Pines, FL 33028
Phone (954) 433-3114

National Provider Directory

National Provider Directory

Locations

601 N Flamingo Rd
Ste 304
Pembroke Pnes, FL 33028
Phone (954) 399-9014

1855 N Corporate Lakes Blvd
Ste 1
Weston, FL 33326
Phone (954) 349-3138

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": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1235421884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO ROAD",
            "address_2": "SUITE 304",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33028",
            "telephone_number": "954-433-3114",
            "fax_number": "954-433-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO ROAD",
            "address_2": "SUITE 304",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33028",
            "telephone_number": "954-433-3114",
            "fax_number": "954-433-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFER MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "954-433-3114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "47178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.