Individual provider Active NPI

Jacob Joseph Hezghian, FNP

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1447009485
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11039537 Issued in FL
Practice address
3201 Griffin Rd Ste 205
Fort Lauderdale, FL 33312-6900
Phone
(305) 647-3660
Fax
(305) 647-3665
NPI assigned
May 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11039537 FL Primary
Nurse Practitioner 363L00000X F353871 NY

Addresses

Primary practice location

3201 Griffin Rd Ste 205
Fort Lauderdale, FL 33312-6900

Mailing address

3201 Griffin Rd Ste 205
Fort Lauderdale, FL 33312-6900
Phone (305) 647-3660

Other practice location 1

2361 Nostrand Ave
Brooklyn, NY 11210-3902
Phone (516) 862-4900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325003217 FL Practitioner - Nurse Practitioner 7618452806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Vascular PAGroup PAC ID 6507342060, 2 clinicians

Practice addresses (Care Compare)

Fort Lauderdale, FL 33312
Phone (718) 925-2556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11039537FLMDNurse Practitioner
F353871NYMDNurse Practitioner

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1447009485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GRIFFIN RD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126900",
            "telephone_number": "305-647-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GRIFFIN RD STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126900",
            "telephone_number": "305-647-3660",
            "fax_number": "305-647-3665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2361 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112103902",
            "country_code": "US",
            "telephone_number": "516-862-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEZGHIAN",
        "first_name": "JACOB",
        "middle_name": "JOSEPH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11039537",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F353871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.