Active NPI
Jacob Joseph Hezghian, FNP
- Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1447009485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11039537
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
Fort Lauderdale, FL 33312
Phone (718) 925-2556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11039537 | FL | MD | Nurse Practitioner |
| F353871 | NY | MD | Nurse 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.
-
- Vascular & Interventional Radiology Physician
- Fort Lauderdale, FL
- NPI 1275400269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.