Paul T Fass, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

ME15036 Issued in FL

Practice address

2999 NE 191St St
Suite 230
Aventura, FL 33180-3123

Phone

(305) 933-9953

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1477525673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330080729",
            "telephone_number": "305-503-6320",
            "fax_number": "305-503-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST",
            "address_2": "SUITE 230",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803123",
            "telephone_number": "305-933-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASS",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME15036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.