Organization Active NPI

Sheryl R Facey MD PA

  • Obstetrics Physician
  • Pembroke Pines, FL
National Provider Identifier
1497090955
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
SHERYL R FACEY MD PA
Practice address
1757 N University Dr
Pembroke Pines, FL 33024-3601
Phone
(954) 981-6920
Fax
(954) 981-6922
NPI assigned
Dec 10, 2012
Reactivated
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Dr. Sheryl Rosemarie Facey
Title
Doctor
Phone
(954) 981-6920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME85432 FL
Obstetrics Physician 207VX0000X Primary

Addresses

Primary practice location

1757 N University Dr
Pembroke Pines, FL 33024-3601

Mailing address

1757 N University Dr
Pembroke Pines, FL 33024-3601
Phone (954) 981-6920

Other identifiers 1

IdentifierTypeStateIssuer
265340100MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1069903Sheryl R Facey MD PA1757 N University Dr, Pembroke Pines, FL 33024Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory

Locations

601 N Flamingo Rd
Ste 202
Pembroke Pnes, FL 33028
Phone (954) 265-4664

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1497090955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243601",
            "telephone_number": "954-981-6920",
            "fax_number": "954-981-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243601",
            "telephone_number": "954-981-6920",
            "fax_number": "954-981-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL R FACEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "deactivation_date": "2019-12-27",
        "reactivation_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "FACEY",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ROSEMARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-981-6920",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME85432",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265340100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.