Majesty Medical Associates LLC

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

Legal business name

MAJESTY MEDICAL ASSOCIATES LLC

Practice address

1447 Medical Park Blvd
Suite 405
Wellington, FL 33414-3164

Phone

(561) 792-7454

Fax

(561) 792-7488

NPI assigned

Apr 26, 2013

Last updated

Nov 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pedro Nam, MDNPI 1679673743

Title

Director

Phone

(561) 792-7454

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro Nam, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Loxaharchee, FL
  • NPI 1679673743
  NPD Authorized official
• Peter Frederick Lofaso, D.O

  • Internal Medicine Physician
  • Point Harbor, NC
  • NPI 1841261112
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1447694948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9696 PHIPPS LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143404",
            "telephone_number": "561-267-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD",
            "address_2": "SUITE 405",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-792-7454",
            "fax_number": "561-792-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTY MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-792-7454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010046601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Macineira Pereda
• Elizabeth B Macnaughton, ARNP
• James Madorma
• Rebecca Hope Magwood, PA-C
• Main Street Children's Dentistry of Wellington
• Majid a. Shams, PHD, PA
• Making Connections Psychotherapy Counseling Services LLC
• Patrick Malinowski, PHARMD
• Mama Llama LLC
• Mama Lllama LLC, MG

• Adolescent Medicine (Internal Medicine) Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Adolescent Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.