Individual provider Active NPI

Hadeer Thamin Sinawe

  • Student in an Organized Health Care Education/Training Program
  • Boca Raton, FL
National Provider Identifier
1528640943
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Florida Atlantic University Im Residency Program
800 Meadows Road
Boca Raton, FL 33486
Phone
(561) 955-5365
Fax
(561) 955-3577
NPI assigned
Apr 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Florida Atlantic University Im Residency Program
800 Meadows Road
Boca Raton, FL 33486

Mailing address

Florida Atlantic University Im Residency Program
800 Meadows Road
Boca Raton, FL 33486
Phone (561) 955-5365

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210503002394 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1456760438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1528640943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FLORIDA ATLANTIC UNIVERSITY IM RESIDENCY PROGRAM",
            "address_2": "800 MEADOWS ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-955-5365",
            "fax_number": "561-955-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA ATLANTIC UNIVERSITY IM RESIDENCY PROGRAM",
            "address_2": "800 MEADOWS ROAD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-955-5365",
            "fax_number": "561-955-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINAWE",
        "first_name": "HADEER",
        "middle_name": "THAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.