Organization Active NPI

Fahed Fayad MD PA

  • Radiation Oncology Physician
  • Miami, FL
National Provider Identifier
1558391433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME55854 Issued in FL
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.