Organization Active NPI

Laura J. Zalcberg M.D. PA

  • Specialist
  • Lauderdale Lakes, FL
National Provider Identifier
1316146947
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME79608 Issued in FL
Legal business name
LAURA J. ZALCBERG M.D. PA
Practice address
2951 NW 49TH Ave Ste 102
Lauderdale Lakes, FL 33313-1638
Phone
(954) 714-4685
Fax
(954) 714-5864
NPI assigned
Jul 13, 2007
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Laura Judith Zalcberg, M.D.
Title
President
Phone
(954) 714-4685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME79608 FL Primary

Addresses

Primary practice location

2951 NW 49TH Ave Ste 102
Lauderdale Lakes, FL 33313-1638

Mailing address

2951 NW 49TH Ave Ste 102
Lauderdale Lakes, FL 33313-1638
Phone (954) 714-4685

Other identifiers 1

IdentifierTypeStateIssuer
259125100MedicaidFL

National Provider Directory

National Provider Directory

Locations

2951 NW 49th Ave
Ste 102
Lauderdale Lakes, FL 33313
Phone (954) 714-4685

2951 NW 49th Ave
Ste 208
Lauderdale Lakes, FL 33313
Phone (954) 484-6300

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1316146947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 102",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131638",
            "telephone_number": "954-714-4685",
            "fax_number": "954-714-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 102",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131638",
            "telephone_number": "954-714-4685",
            "fax_number": "954-714-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA J. ZALCBERG M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "ZALCBERG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-714-4685",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259125100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.