Individual provider Active NPI

Julian John Ferayorni, M.D.

  • Ophthalmology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1306834890
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15040 Issued in FL
Practice address
1815 E Commercial Blvd
#202
Fort Lauderdale, FL 33308-3760
Phone
(954) 772-2767
Fax
(954) 772-0619
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15040 FL Primary

Addresses

Primary practice location

1815 E Commercial Blvd
#202
Fort Lauderdale, FL 33308-3760

Mailing address

1815 E Commercial Blvd
#202
Fort Lauderdale, FL 33308-3760
Phone (954) 772-2767

Other identifiers 1

IdentifierTypeStateIssuer
054327600MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
ME15040FLMDFamily Medicine Physician
15040FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1306834890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E COMMERCIAL BLVD",
            "address_2": "#202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083760",
            "telephone_number": "954-772-2767",
            "fax_number": "954-772-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E COMMERCIAL BLVD",
            "address_2": "#202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083760",
            "telephone_number": "954-772-2767",
            "fax_number": "954-772-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERAYORNI",
        "first_name": "JULIAN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "15040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054327600",
            "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 Sep 21, 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.