Active NPI
Fahed Fayad MD PA
- Radiation Oncology Physician
- Miami, FL
National Provider Identifier
1558391433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME55854
- Legal business name
- FAHED FAYAD MD PA
- Practice address
- 1400 NW 12TH Ave
Miami, FL 33136-1003 - Phone
- (305) 325-5691
- Fax
- (305) 325-4451
- NPI assigned
- Jul 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fahed Fayad, MD
- Title
- President
- Phone
- (305) 582-2068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME55854 | FL | Primary |
Addresses
Primary practice location
1400 NW 12TH Ave
Miami, FL 33136-1003
Mailing address
5601 Collins Ave Apt 612
Miami Beach, FL 33140-2444
Phone (305) 582-2068
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558391433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 COLLINS AVE APT 612",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402444",
"telephone_number": "305-582-2068",
"fax_number": "305-675-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361003",
"telephone_number": "305-325-5691",
"fax_number": "305-325-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAHED FAYAD MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAYAD",
"authorized_official_first_name": "FAHED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-582-2068",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME55854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.