Organization Active NPI

Alon Davis MD PA

  • Family Medicine Physician
  • Hallandale Beach, FL
National Provider Identifier
1376577296
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALON DAVIS MD PA
Practice address
2049 S Ocean Dr PH 9
Hallandale Beach, FL 33009-6629
Phone
(410) 251-1998
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Mrs. Ella Fishberg Davis, RN
Title
Office Manager
Phone
(410) 251-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2049 S Ocean Dr PH 9
Hallandale Beach, FL 33009-6629

Mailing address

100 Power St
Salisbury, MD 21804-6940
Phone (410) 543-2060

Other identifiers 1

IdentifierTypeStateIssuer
405058400MedicaidMD

National Provider Directory

National Provider Directory

Locations

100 Power St
Salisbury, MD 21804
Phone (410) 543-2060

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1376577296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POWER ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046940",
            "telephone_number": "410-543-2060",
            "fax_number": "410-543-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 S OCEAN DR PH 9",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096629",
            "telephone_number": "410-251-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALON DAVIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "FISHBERG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-251-1998",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405058400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.