Individual provider Active NPI

Joseph James Fastaia, M.D.

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1508937103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME39166 Issued in FL
Practice address
300 71St St
Suite# 620
Miami Beach, FL 33141-3038
Phone
(305) 866-9951
Fax
(305) 614-3352
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME39166 FL Primary

Addresses

Primary practice location

300 71St St
Suite# 620
Miami Beach, FL 33141-3038

Mailing address

4891 Kylemore CT
Palm Harbor, FL 34685-2649
Phone (727) 942-6834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39166FLMDReflexologist
ME39166FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica J Wilson Chan D O PA PastSince Nov 3, 2019 Accepting new patients
Mountcastle Vein Center of St Petersburg Past Accepting new patients
Physical Medicine Center PastSince Jun 23, 2013 Accepting new patients
Bayfront Enterprises Inc Past Accepting new patients
National Healing Community Wound Care, LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508937103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 KYLEMORE CT",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852649",
            "telephone_number": "727-942-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 71ST ST",
            "address_2": "SUITE# 620",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413038",
            "telephone_number": "305-866-9951",
            "fax_number": "305-614-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASTAIA",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME39166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.