Individual provider Active NPI

Jason Robert Dudas, MD

  • Plastic Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1427253244
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME160599 Issued in FL
Practice address
3536 N Federal Hwy Ste 100
Ft Lauderdale, FL 33308-6264
Phone
(954) 380-8411
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME160599 FL Primary
Plastic and Reconstructive Surgery Physician 2086S0122X A119840 CA
Plastic Surgery Physician 208200000X 2007016633 MO

Addresses

Primary practice location

3536 N Federal Hwy Ste 100
Ft Lauderdale, FL 33308-6264

Mailing address

3536 N Federal Hwy Ste 100
Ft Lauderdale, FL 33308-6264
Phone (954) 380-8411

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

LicenseStateTypeSpecialty
119840CAMDMarriage & Family Therapist
2007016633MOMDPlastic Surgery Physician
A119840CAMDPlastic and Reconstructive Surgery Physician

Interoperability endpoints

  • Direct secure messaging: jdudas183380@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1427253244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 N FEDERAL HWY STE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086264",
            "telephone_number": "954-380-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 N FEDERAL HWY STE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086264",
            "telephone_number": "954-380-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDAS",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME160599",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A119840",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2007016633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.