NPIMap

Organization Active NPI

East/West Pediatrics, P.a.

  • Pediatrics Physician
  • Fort Lauderdale, FL
National Provider Identifier
1336103837
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0037416 Issued in FL
Legal business name
EAST/WEST PEDIATRICS, P.A.
Practice address
1319 SE 2ND Ave
Ft Lauderdale, FL 33316-1809
Phone
(954) 467-3053
Fax
(954) 467-5424
NPI assigned
Apr 13, 2006
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mrs. Ragini Dharmappa
Title
Office Manager
Phone
(954) 452-7576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0037416 FL Primary
Pediatrics Physician 208000000X ME0037089 FL

Addresses

Primary practice location

1319 SE 2ND Ave
Ft Lauderdale, FL 33316-1809

Mailing address

1319 SE 2ND Ave
Ft Lauderdale, FL 33316-1809
Phone (954) 467-3053

Other identifiers 2

IdentifierTypeStateIssuer
24762OtherFLFL BLUE CROSS/BLUE SHIELD
374383700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Eastwest Pediatrics PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1336103837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 SE 2ND AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161809",
            "telephone_number": "954-467-3053",
            "fax_number": "954-467-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SE 2ND AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161809",
            "telephone_number": "954-467-3053",
            "fax_number": "954-467-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST/WEST PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DHARMAPPA",
        "authorized_official_first_name": "RAGINI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-452-7576",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0037416",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0037089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE CROSS/BLUE SHIELD",
            "identifier": "24762",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374383700",
            "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 May 15, 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.