Organization Active NPI

Ngozi Ezeude DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miramar, FL
National Provider Identifier
1346675873
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3610 Issued in FL
Legal business name
NGOZI EZEUDE DPM PA
Practice address
2600 SW 116TH Ter Apt 202
Miramar, FL 33025-7576
Phone
(832) 754-5449
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Ngozi K Ezeude, DPM
Title
Owner
Phone
(832) 754-5449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3610 FL Primary

Addresses

Primary practice location

2600 SW 116TH Ter Apt 202
Miramar, FL 33025-7576

Mailing address

2600 SW 116TH Ter Apt 202
Miramar, FL 33025-7576
Phone (832) 754-5449

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1346675873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW 116TH TER APT 202",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257576",
            "telephone_number": "832-754-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW 116TH TER APT 202",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257576",
            "telephone_number": "832-754-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGOZI EZEUDE DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "EZEUDE",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-754-5449",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.