Ez-Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME068860 Issued in FL

Legal business name

EZ-PEDIATRICS

Practice address

10794 Pines Blvd
Ste 102
Pembroke Pines, FL 33026-3920

Phone

(954) 431-8558

Fax

(954) 431-3867

NPI assigned

Jan 29, 2015

Last updated

Oct 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mario Donald Zambrano, MDNPI 1508815531

Title

Attending Physician/Ceo

Phone

(954) 431-8558

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• EZPeDs, PA Former legal business name

Tax ID family

Ez-Pediatrics2 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.

• Sleep Well of Miami, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Miami, FL
  • NPI 1891051033
  NPD tax ID

Locations

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.

• Mario D Zambrano, MD

  • Pediatrics Physician
  • Homestead, FL
  • NPI 1508815531
  NPD (past) Authorized official
• Kaylin Michelle Robinson

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1750832366
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1336539303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-431-8558",
            "fax_number": "954-431-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "address_2": "STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-431-8558",
            "fax_number": "954-431-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ-PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "ZAMBRANO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN/CEO",
        "authorized_official_telephone_number": "954-431-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME068860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378700100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508815531",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750832366",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G151181",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1336539303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZPeDs, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eyes on Pines, Inc
• Eyes Optical
• Eyetopia LLC
• Adi Hava Eylon, DO
• Ez Sleep Diagnostic Center Corp (Crossroads Center of Broward)
• Osita C Ezenwa
• Caleb Fabiano
• Yisel Fabre Calzadilla
• Dayana Fabre
• Hector Alberto Fabregas Cherenek, MD

• Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.