Organization Active NPI

Moshe Stav MD PA

  • Trauma Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1558664987
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
MOSHE STAV MD PA
Practice address
1550 Ponce de Leon Dr
3200 S. University Dr, RM 7374
Fort Lauderdale, FL 33316-1324
Phone
(954) 401-6060
Fax
(954) 766-8434
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Moshe Stav, MD
Title
President
Phone
(954) 401-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

1550 Ponce de Leon Dr
3200 S. University Dr, RM 7374
Fort Lauderdale, FL 33316-1324

Mailing address

1550 Ponce de Leon Dr
Fort Lauderdale, FL 33316-1324
Phone (954) 401-6060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1558664987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 PONCE DE LEON DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161324",
            "telephone_number": "954-401-6060",
            "fax_number": "954-766-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PONCE DE LEON DR",
            "address_2": "3200 S. UNIVERSITY DR, RM 7374",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161324",
            "telephone_number": "954-401-6060",
            "fax_number": "954-766-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHE STAV MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "STAV",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-401-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.