Active NPI
Ali Harake MD PA
- Internal Medicine Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0069018
- Legal business name
- ALI HARAKE MD PA
- Practice address
- 1960 NE 47TH St
Suite 100
Ft Lauderdale, FL 33308-7708 - Phone
- (954) 938-9949
- Fax
- (954) 938-9956
- NPI assigned
- Jul 20, 2007
- 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
- Dr. Ali A Harake, MD
- Title
- Owner
- Phone
- (954) 938-9949
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0069018 | FL | Primary |
Addresses
Primary practice location
1960 NE 47TH St
Suite 100
Ft Lauderdale, FL 33308-7708
Mailing address
1960 NE 47TH St
Suite 100
Ft Lauderdale, FL 33308-7708
Phone (954) 938-9949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070725000427 | FL | Part B Supplier - Clinic/Group Practice | 1658472360 |
Receives reassigned benefits from 1 practitioner Practice locations: Ft Lauderdale, FL |
National Provider Directory
National Provider DirectoryLocations
1930 NE 47th St
Ste 201
Ft Lauderdale, FL 33308
Phone (954) 414-9750
2021 E Commercial Blvd
Ste 205
Ft Lauderdale, FL 33308
Phone (954) 938-9948
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1154341535
FL, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184889600000",
"number": "1497955116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 NE 47TH ST",
"address_2": "SUITE 100",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333087708",
"telephone_number": "954-938-9949",
"fax_number": "954-938-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 NE 47TH ST",
"address_2": "SUITE 100",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333087708",
"telephone_number": "954-938-9949",
"fax_number": "954-938-9956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI HARAKE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A",
"authorized_official_last_name": "HARAKE",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-938-9949",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0069018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.