NPIMap

Organization Active NPI

Pediatrics Care of Stuart,PA

  • Clinic/Center
  • Stuart, FL
National Provider Identifier
1568659902
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME0071221 Issued in FL
Legal business name
PEDIATRICS CARE OF STUART,PA
Practice address
509 SE Riverside Dr
Suite#300
Stuart, FL 34994-2579
Phone
(772) 283-8890
Fax
(772) 283-6946
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Arif Wajid, M.D
Title
Doctor
Phone
(772) 283-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME0071221 FL Primary

Addresses

Primary practice location

509 SE Riverside Dr
Suite#300
Stuart, FL 34994-2579

Mailing address

509 SE Riverside Dr
Suite#300
Stuart, FL 34994-2579
Phone (772) 283-8890

National Provider Directory

National Provider Directory

Locations

509 SE Riverside Dr
Ste 300
Stuart, FL 34994
Phone (772) 288-5897

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1568659902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR",
            "address_2": "SUITE#300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "772-283-8890",
            "fax_number": "772-283-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR",
            "address_2": "SUITE#300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "772-283-8890",
            "fax_number": "772-283-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS CARE OF STUART,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "WAJID",
        "authorized_official_first_name": "ARIF",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "772-283-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0071221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.