Active NPI
Medfast
- Transportation Network Company
- Pinellas Park, FL
National Provider Identifier
1497638241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Legal business name
- MEDFAST
- Practice address
- 4061 58TH Avenue N Lot 325
Pinellas Park, FL 33781 - Phone
- (631) 552-2859
- NPI assigned
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Joseph Smocer
- Title
- Ambr
- Phone
- (631) 552-2859
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
4061 58TH Avenue N Lot 325
Pinellas Park, FL 33781
Mailing address
4061 58TH Avenue N
Lot 325
Pinellas Park, FL 33781
Phone (631) 552-2859
Other names 1
- Smocer
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754092800000",
"number": "1497638241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4061 58TH AVENUE N",
"address_2": "LOT 325",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "33781",
"telephone_number": "631-552-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 58TH AVENUE N LOT 325",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "33781",
"telephone_number": "631-552-2859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFAST",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-08-02",
"certification_date": "2025-08-02",
"status": "A",
"authorized_official_last_name": "SMOCER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "AMBR",
"authorized_official_telephone_number": "631-552-2859"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smocer",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Smocer",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.