Organization Active NPI

Moshe Ashkenazi MD Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pembroke Pines, FL
National Provider Identifier
1366729154
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME26813 Issued in FL
Legal business name
MOSHE ASHKENAZI MD INC
Practice address
2301 N University Dr
Ste 202
Pembroke Pines, FL 33024-3617
Phone
(954) 965-2870
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Moshe Ashkenazi, M.D
Title
PD
Phone
(954) 965-2870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X ME26813 FL Primary

Addresses

Primary practice location

2301 N University Dr
Ste 202
Pembroke Pines, FL 33024-3617

Mailing address

922 Van Buren St
Hollywood, FL 33019-1637
Phone (954) 965-2870

Other identifiers 1

IdentifierTypeStateIssuer
253693500MedicaidFL

National Provider Directory

National Provider Directory

Locations

4700 Sheridan St
#U
Hollywood, FL 33021
Phone (954) 963-6600

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1366729154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191637",
            "telephone_number": "954-965-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N UNIVERSITY DR",
            "address_2": "STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243617",
            "telephone_number": "954-965-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHE ASHKENAZI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "ASHKENAZI",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PD",
        "authorized_official_telephone_number": "954-965-2870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME26813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253693500",
            "state": "FL"
        }
    ],
    "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 Nov 8, 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.