Organization Active NPI

Andrew R Altman MD PA

  • Dermatology Physician
  • Plantation, FL
National Provider Identifier
1548436710
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME51770 Issued in FL
Legal business name
ANDREW R ALTMAN MD PA
Practice address
137 NW 100TH Ave
Plantation, FL 33324-7034
Phone
(954) 577-5161
Fax
(954) 577-5191
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Andrew Robert Altman, M.D.
Title
President
Phone
(954) 577-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME51770 FL Primary

Addresses

Primary practice location

137 NW 100TH Ave
Plantation, FL 33324-7034

Mailing address

137 NW 100TH Ave
Plantation, FL 33324-7034
Phone (954) 577-5161

Other identifiers 1

IdentifierTypeStateIssuer
ME 51770OtherFLNPI 1689746356

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1548436710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247034",
            "telephone_number": "954-577-5161",
            "fax_number": "954-577-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247034",
            "telephone_number": "954-577-5161",
            "fax_number": "954-577-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW R ALTMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-577-5161",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME51770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1689746356",
            "identifier": "ME 51770",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.