Active NPI
Jason Robert Dudas, MD
- Plastic Surgery Physician
- Ft Lauderdale, FL
National Provider Identifier
1427253244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME160599
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 119840 | CA | MD | Marriage & Family Therapist |
| 2007016633 | MO | MD | Plastic Surgery Physician |
| A119840 | CA | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- 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.