Active NPI
Muaz Alabd Alrazzak, MD
- Pediatric Hematology & Oncology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- ME122512
- Practice address
- 9980 Central Park Blvd.
Suite 206
Boca Raton, FL 33428-1703 - Phone
- (561) 558-1212
- Fax
- (561) 558-1292
- NPI assigned
- Jul 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 004115 | NY | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | ME122512 | FL | Primary |
Addresses
Primary practice location
9980 Central Park Blvd.
Suite 206
Boca Raton, FL 33428-1703
Mailing address
5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malabdalrazzak673957@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004115 | NY | MD | Pediatric Hematology & Oncology Physician |
| 107968 | MN | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Medical Services, Inc | Current | Accepting new patients | |
| Kidz Medical Services, Inc | Pediatric Hematology-Oncology | Current | Accepting new patients |
| Pediatric Physician Services, Inc. | Pediatric Hematology-Oncology | Past | Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500
9980 Central Park Blvd N
Ste 206
Boca Raton, FL 33428
Phone (561) 477-0197
5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668
975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- muazalabdalrazzak@kms.allscriptsdirect.net
- malabdalrazzak1197719@direct.hopkinsmedicine.org
- malabdalrazzak673957@direct.centracare.com
- malrazzak299047@mhsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Coral Gables, FL
- NPI 1366408379
Pediatric Hematology-Oncology
-
- Pediatric Nephrology Physician
- South Miami, FL
- NPI 1730637927
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
Pediatric Hematology-Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1508112731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462423",
"telephone_number": "305-661-1515",
"fax_number": "305-663-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 CENTRAL PARK BLVD.",
"address_2": "SUITE 206",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281703",
"telephone_number": "561-558-1212",
"fax_number": "561-558-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALABD ALRAZZAK",
"first_name": "MUAZ",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-25",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NY",
"license": "004115",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "FL",
"license": "ME122512",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malabdalrazzak673957@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "malabdalrazzak673957@direct.centracare.com",
"address_1": "1200 6th Ave N",
"city": "Saint Cloud",
"state": "MN",
"country_code": "US",
"postal_code": "563032735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.