Angelika Maria Ptak, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11036533 Issued in FL

Practice address

8201 NW 93Rd Ter
Tamarac, FL 33321-1439

Phone

(954) 673-6558

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mohammad T Javed MD PAGroup PAC ID 3870563877, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Mohammad T Javed MD PA

  • Internal Medicine Physician
  • Greenacres, FL
  • NPI 1326080938
  Medicare reassignment Care Compare group NPD
• Mohammad T Javed, Mdpa

  • Primary Care Clinic/Center
  • Palm Springs, FL
  • NPI 1982008199
  NPD

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1467277707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 NW 93RD TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211439",
            "telephone_number": "954-673-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 NW 93RD TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211439",
            "telephone_number": "954-673-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTAK",
        "first_name": "ANGELIKA",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Procedure Rooms, PLLC
• Pro-Thotics Technology, Inc
• Professional Rehab Ortho Labs Inc
• Provident Care Management
• Psychiatry Group & Behavioral Associates LLC
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets, Inc.
• Sohail Punjwani, MD
• Caitlyn Nicolle Qualitza

• Family Nurse Practitioner in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.

Verify at the official NPI Registry.