NPIMap

Organization Active NPI

Zachariah P Zachariah Mdpa

  • Interventional Cardiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1275513384
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME27175 Issued in FL
Legal business name
ZACHARIAH P ZACHARIAH MDPA
Practice address
4725 N Federal Hwy
Suite 501
Fort Lauderdale, FL 33308-4603
Phone
(954) 772-2200
Fax
(954) 938-8829
NPI assigned
Jan 17, 2006
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Zachariah Poozhikala Zachariah, MDNPI 1275511289
Title
President
Phone
(954) 772-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME27175 FL Primary

Addresses

Primary practice location

4725 N Federal Hwy
Suite 501
Fort Lauderdale, FL 33308-4603

Mailing address

4725 N Federal Hwy
Suite 501
Fort Lauderdale, FL 33308-4603
Phone (954) 772-2200

Other identifiers 2

IdentifierTypeStateIssuer
CF7537OtherFLRRMEDICARE
277301500MedicaidFL

National Provider Directory

National Provider Directory

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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1275513384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "address_2": "SUITE 501",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-772-2200",
            "fax_number": "954-938-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "address_2": "SUITE 501",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-772-2200",
            "fax_number": "954-938-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARIAH P ZACHARIAH MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "ZACHARIAH",
        "authorized_official_first_name": "ZACHARIAH",
        "authorized_official_middle_name": "POOZHIKALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-772-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME27175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "CF7537",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277301500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.