Organization Active NPI

SSR Consultants Inc

  • Urology Physician
  • Doral, FL
National Provider Identifier
1487663563
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 81109 Issued in FL
Legal business name
SSR CONSULTANTS INC
Practice address
3650 NW 82ND Ave Ste Ph501
Doral, FL 33166-6658
Phone
(305) 251-8650
Fax
(305) 251-8913
NPI assigned
Aug 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Dr. Sanjay Razdan, MDNPI 1518921865
Title
President
Phone
(305) 251-8650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME 81109 FL Primary

Addresses

Primary practice location

3650 NW 82ND Ave Ste Ph501
Doral, FL 33166-6658

Mailing address

3650 NW 82ND Ave Ste Ph501
Doral, FL 33166-6658
Phone (305) 251-8650

Other identifiers 2

IdentifierTypeStateIssuer
0137588OtherFLGHI
DG1507OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061114000297 FL Part B Supplier - Clinic/Group Practice 2668479585 Receives reassigned benefits from 3 practitioners
Practice locations: Doral, FL; Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

3650 NW 82nd Ave
Ste 501
Doral, FL 33166
Phone (305) 251-8650

1321 NW 14th St
Ste 305
Miami, FL 33125
Phone (305) 325-9797

9380 SW 150th St
Ste 200
Miami, FL 33176
Phone (305) 270-0777

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1487663563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE STE PH501",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-251-8650",
            "fax_number": "305-251-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE STE PH501",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-251-8650",
            "fax_number": "305-251-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSR CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "RAZDAN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 81109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0137588",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.