Organization Active NPI

Alan J Sackin,M.D.,P.a.

  • Pulmonary Disease Physician
  • Tamarac, FL
National Provider Identifier
1356645329
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0036330 Issued in FL
Legal business name
ALAN J SACKIN,M.D.,P.A.
Practice address
7421 N University Dr
Suite 210
Tamarac, FL 33321-2977
Phone
(954) 720-5600
Fax
(954) 720-5603
NPI assigned
Jan 5, 2011
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Pearl Gamss
Title
Office Manager
Phone
(954) 720-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0036330 FL Primary

Addresses

Primary practice location

7421 N University Dr
Suite 210
Tamarac, FL 33321-2977

Mailing address

7421 N University Dr
Suite 210
Tamarac, FL 33321-2977
Phone (954) 720-5600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1356645329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-720-5600",
            "fax_number": "954-720-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 210",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-720-5600",
            "fax_number": "954-720-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN J SACKIN,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "GAMSS",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-720-5600"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0036330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.