NPIMap

Organization Active NPI

Foot, Ankle & Leg Specialists

  • Non-Pharmacy Dispensing Site
  • Pembroke Pines, FL
National Provider Identifier
1346423654
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
PO2983 Issued in FL
Legal business name
FOOT, ANKLE & LEG SPECIALISTS
Practice address
17842 NW 2ND St
Pembroke Pines, FL 33029-2806
Phone
(954) 389-5900
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Iliya Beylin
Title
Physician
Phone
(954) 389-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X PO2983 FL Primary

Addresses

Primary practice location

17842 NW 2ND St
Pembroke Pines, FL 33029-2806

Mailing address

3607 Old Conejo Road
Thousand Oaks, CA 91320

National Provider Directory

National Provider Directory
Tax ID family
Foot Ankle Leg Specialists4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1346423654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 OLD CONEJO ROAD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17842 NW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292806",
            "telephone_number": "954-389-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT, ANKLE & LEG SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "BEYLIN",
        "authorized_official_first_name": "ILIYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-389-5900"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "PO2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.