NPIMap

Organization Active NPI

Primary Care Physicians of Hollywood, PA

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1457841017
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PA
Practice address
6517 Taft St Ste 101
Hollywood, FL 33024-4063
Phone
(954) 983-9191
Fax
(954) 983-1152
NPI assigned
May 18, 2018
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Moises Issa, MDNPI 1558357780
Title
Owner
Phone
(954) 399-9014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X FL Primary

Addresses

Primary practice location

6517 Taft St Ste 101
Hollywood, FL 33024-4063

Mailing address

7050 Taft St
Hollywood, FL 33024-3804
Phone (954) 399-9014

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address missa@pcphollywood.com

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Physicians of Hollywood PL13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1457841017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243804",
            "telephone_number": "954-399-9014",
            "fax_number": "954-983-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244063",
            "telephone_number": "954-983-9191",
            "fax_number": "954-983-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-399-9014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "missa@pcphollywood.com",
            "affiliation": "N",
            "address_1": "7050 Taft St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330243804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.