Ashfaq Kudia, M.D., P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0068850 Issued in FL

Legal business name

ASHFAQ KUDIA, M.D., P.A.

Practice address

1301 Plantation Island Dr S Ste 302a
Saint Augustine, FL 32080-3117

Phone

(904) 461-9330

Fax

(904) 461-9331

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Furrin Kudia

Title

Office Manager

Phone

(904) 461-9330

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Fazzingo, ARNP

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1316487218
  Medicare reassignment NPD
• Ashfaq Latif Kudia, MD

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1669482188
  Medicare reassignment NPD

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1265675219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 302A",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803117",
            "telephone_number": "904-461-9330",
            "fax_number": "904-461-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 302A",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803117",
            "telephone_number": "904-461-9330",
            "fax_number": "904-461-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFAQ KUDIA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "KUDIA",
        "authorized_official_first_name": "FURRIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-461-9330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0068850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379026600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "28138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilan Aronovici
• James Thomas Ash, RPH
• Rezwan R Ashdji, M.D.
• Victoria Lee Ashe
• Majdouline Asher, M.D.
• Colton Ashley, PA-C
• Associates in Internal Medicine PA
• Bryona Atkins
• Atlantic Eye Institute P.a.
• Atlantic Urological Associates P a

• Primary Care Clinic/Center in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.