Active NPI
Joseph James Fastaia, M.D.
- Internal Medicine Physician
- Miami Beach, FL
National Provider Identifier
1508937103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME39166
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 39166 | FL | MD | Reflexologist |
| ME39166 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica J Wilson Chan D O PA | Past | Accepting new patients | |
| Mountcastle Vein Center of St Petersburg | Past | Accepting new patients | |
| Physical Medicine Center | Past | 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.
-
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1710963236
-
- General Practice Physician
- Tampa, FL
- NPI 1457995953
-
- General Practice Physician
- St Petersburg, FL
- NPI 1619022951
-
- Surgery Physician
- Jacksonville, FL
- NPI 1750698528
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1902810963
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.