Damona Emami, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NJDCATEMP-045145 Issued in NJ

Practice address

1954 Bridgewater Dr
Lake Mary, FL 32746-6907

Phone

(805) 535-9326

NPI assigned

Jan 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• De Healthcare Consulting, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1376235051
  NPD Authorized official
• Optima Imaging Centers of Florieda

  • Radiology Clinic/Center
  • Ocoee, FL
  • NPI 1275260556
  NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1235882408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 BRIDGEWATER DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466907",
            "telephone_number": "805-535-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 BRIDGEWATER DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466907",
            "telephone_number": "805-535-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAMI",
        "first_name": "DAMONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "NJDCATEMP-045145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LISCENSCE",
            "identifier": "HSE32206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY LISCENCE",
            "identifier": "NGDCATEMP-045145",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "floridahospitalmd.com",
            "affiliation": "N",
            "endpointDescription": "ehr software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1954 Bridgewater Dr",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327466907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elite-Star Medical Transport LLC.
• Thomas Ellis, MS
• Elocin Wellness LLC
• Nicholas Elsey
• Mohamed Badreldin Elshazly, M.D
• Emergency Physicians of Central Florida, LLP
• Endocrine Associates of FL
• Endurance Counseling
• Sarah Enero
• Elizabeth Nicole Engelgau

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.