Jahanbakhsh Nasserzare MD, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME102604 Issued in FL

Legal business name

JAHANBAKHSH NASSERZARE MD, PA

Practice address

1380 NE Miami Gardens Dr Ste 140
North Miami Beach, FL 33179-4744

Phone

(305) 940-0064

Fax

(305) 940-0066

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jahanbakhsh Nasserzare, M.D.NPI 1164632550

Title

President

Phone

(305) 940-0064

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jahanbakhsh Nasserzare, M.D.

  • Psychiatry Physician
  • North Miami Beach, FL
  • NPI 1164632550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1588975304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 140",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794744",
            "telephone_number": "305-940-0064",
            "fax_number": "305-940-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR STE 140",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794744",
            "telephone_number": "305-940-0064",
            "fax_number": "305-940-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHANBAKHSH NASSERZARE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "NASSERZARE",
        "authorized_official_first_name": "JAHANBAKHSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-940-0064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME102604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002467900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010587700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Salazar MD PA
• Nadege Salomon Jacques, ARNP
• Roger Charles David Jacques, A.R.N.P.
• Doles Jadotte, PHD
• Marjorie Jadotte
• Feras Jalab, M.D.
• Meagan James
• Sheila James
• JBL General Services Inc
• JCP Medical PA

• Psychiatry Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.