Individual provider Active NPI

Mohammad Jawed Latif Jangda, M.D.

  • Geriatric Psychiatry Physician
  • Pembroke Pines, FL
National Provider Identifier
1407934912
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
ME78898 Issued in FL
Practice address
2225 N University Dr
Pembroke Pines, FL 33024-3611
Phone
(954) 730-3340
Fax
(954) 730-8879
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X ME78898 FL
Psychosomatic Medicine Physician 2084P0015X ME78898 FL
Geriatric Psychiatry Physician 2084P0805X ME78898 FL Primary

Addresses

Primary practice location

2225 N University Dr
Pembroke Pines, FL 33024-3611

Mailing address

8050 N University Dr
Ste 201
Tamarac, FL 33321-2102
Phone (854) 532-2920

Other identifiers 1

IdentifierTypeStateIssuer
001448700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000141 FL Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Geriatric Psychiatry 6406811132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8050 N University Dr
Tamarac, FL 33321-2102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad J Latif-Jangda M D P a CurrentSince Feb 1, 2008 Accepting new patients

Locations

2225 N University Dr
Pembroke Pines, FL 33024
Phone (954) 927-5953

8050 N University Dr
Ste 201
Tamarac, FL 33321
Phone (954) 532-2920

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mohammad.latifjangda.1@14931.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1407934912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N UNIVERSITY DR",
            "address_2": "STE 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212102",
            "telephone_number": "854-532-2920",
            "fax_number": "866-843-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-730-3340",
            "fax_number": "954-730-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF JANGDA",
        "first_name": "MOHAMMAD",
        "middle_name": "JAWED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME78898",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "FL",
            "license": "ME78898",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME78898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001448700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.