Organization Active NPI

Medfast

  • Transportation Network Company
  • Pinellas Park, FL
National Provider Identifier
1497638241
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
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

Updated by the provider on Aug 2, 2025

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.