Individual provider Active NPI

Jeffrey I Haber, MDPA

  • Obstetrics & Gynecology Physician
  • Coral Springs, FL
National Provider Identifier
1336256684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME48510 Issued in FL
Practice address
1801 NW 126TH Way
Coral Springs, FL 33071-5414
Phone
(954) 344-8170
Fax
(954) 344-5276
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME48510 FL Primary

Addresses

Primary practice location

1801 NW 126TH Way
Coral Springs, FL 33071-5414

Mailing address

1801 NW 126TH Way
Coral Springs, FL 33071-5414
Phone (954) 344-8170

Other identifiers 1

IdentifierTypeStateIssuer
048848800MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336256684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW 126TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715414",
            "telephone_number": "954-344-8170",
            "fax_number": "954-344-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW 126TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715414",
            "telephone_number": "954-344-8170",
            "fax_number": "954-344-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "JEFFREY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MDPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME48510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048848800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.