Individual provider Active NPI

Bethaney Reed Vejdani, PA

  • Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1528117611
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101897 Issued in FL
Practice address
4300 Alton Rd
Suite 2030
Miami Beach, FL 33140-2800
Phone
(305) 674-6770
Fax
(305) 674-6704
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101897 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Suite 2030
Miami Beach, FL 33140-2800

Mailing address

4300 Alton Rd Ste 2030
Miami Beach, FL 33140-2948
Phone (305) 674-6770

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000705 FL Practitioner - Physician Assistant 5193703346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101897FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Practitioners, LLC CurrentSince Dec 15, 2025 Accepting new patients
Joseph Zebede MD PA PastSince Dec 14, 2025 Accepting new patients

Locations

1995 E Oakland Park Blvd
Ste 310
Ft Lauderdale, FL 33306
Phone (866) 996-8011

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1528117611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD STE 2030",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-6770",
            "fax_number": "305-674-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "SUITE 2030",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-6770",
            "fax_number": "305-674-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED VEJDANI",
        "first_name": "BETHANEY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.