Active NPI
Nazish Masoodi, MD
- Hospitalist Physician
- Cocoa Beach, FL
National Provider Identifier
1356384127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME95536
- Practice address
- 701 W Cocoa Beach Cswy
CCH/Hospitalist Program
Cocoa Beach, FL 32931-3585 - Phone
- (321) 868-5871
- Fax
- (321) 868-5852
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME95536 | FL | |
| Hospitalist Physician | 208M00000X | ME95536 | FL | Primary |
Addresses
Primary practice location
701 W Cocoa Beach Cswy
CCH/Hospitalist Program
Cocoa Beach, FL 32931-3585
Mailing address
PO Box 561600
Rockledge, FL 32956-1600
Phone (321) 434-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME95536 | Other | FL | MD LICENSE |
| 275599800 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME95536 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1356384127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561600",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329561600",
"telephone_number": "321-434-4600",
"fax_number": "321-259-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W COCOA BEACH CSWY",
"address_2": "CCH/HOSPITALIST PROGRAM",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313585",
"telephone_number": "321-868-5871",
"fax_number": "321-868-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASOODI",
"first_name": "NAZISH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME95536",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME95536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "ME95536",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275599800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cocoa Beach, FL
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- Magnolia House
- Magnolia House Assisted Living Facility LLC
- Misty Faith Marot, M.A., B.C.B.A.
- Martha Fay LCSW Beachside Mental Health Counseling Services LLC
- McCormick Organization, Inc
- Michael McGoohan, DO
- Deanna S McGugin, AU.D
- Michael J McLaughlin, MD
- Kathleen Ann McNair, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.