Individual provider Active NPI

Jason Gajraj, M.D.

  • Internal Medicine Physician
  • Margate, FL
National Provider Identifier
1467758912
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME119599 Issued in FL
Practice address
6000 W Atlantic Blvd
Suite 2
Margate, FL 33063-5132
Phone
(954) 973-6111
Fax
(954) 973-0961
NPI assigned
Feb 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME1199599 FL
Internal Medicine Physician 207R00000X ME119599 FL Primary

Addresses

Primary practice location

6000 W Atlantic Blvd
Suite 2
Margate, FL 33063-5132

Mailing address

6000 W Atlantic Blvd Ste 2
Margate, FL 33063-5132
Phone (954) 973-6111

Other practice location 1

4966 N Pine Island Rd
Sunrise, FL 33351-5314
Phone (954) 748-8600

Other practice location 2

7100 Camino Real Ste 200
Boca Raton, FL 33433-5510
Phone (561) 391-6552

Other identifiers 1

IdentifierTypeStateIssuer
012217400MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140820002263 FL Practitioner - Internal MedicinePractitioner - General Practice 0244458008 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3080 NW 99TH Ave
Suite 304
Coral Springs, FL 33065-4038
Phone (754) 812-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME1199599FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Springs Medical Group Inc. CurrentSince Aug 30, 2019 Accepting new patients
QMC LLC CurrentSince Apr 20, 2019 Accepting new patients
Mohammad T Sheikh MD PA CurrentSince Jan 28, 2018 Accepting new patients
Lazaro Fraga, M.D., P.a. Past Accepting new patients

Locations

3080 NW 99th Ave
Ste 304
Coral Springs, FL 33065
Phone (754) 812-1000

10000 W Sample Rd
#A
Coral Springs, FL 33065
Phone (754) 812-1000

1168 N State Road 7
Lauderhill, FL 33313
Phone (301) 960-4252

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 6

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1467758912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W ATLANTIC BLVD STE 2",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635132",
            "telephone_number": "954-973-6111",
            "fax_number": "954-973-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W ATLANTIC BLVD",
            "address_2": "SUITE 2",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635132",
            "telephone_number": "954-973-6111",
            "fax_number": "954-973-0961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4966 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333515314",
            "country_code": "US",
            "telephone_number": "954-748-8600",
            "fax_number": "954-748-3447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 Camino Real Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334335510",
            "country_code": "US",
            "telephone_number": "561-391-6552",
            "fax_number": "561-391-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAJRAJ",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME1199599",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012217400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.