Active NPI
Mohamed Omar
- Technician/Technologist
- Key West, FL
National Provider Identifier
1598696247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 59654
- Practice address
- 2506 N Roosevelt Blvd
Key West, FL 33040-3950 - Phone
- (305) 434-9205
- NPI assigned
- May 28, 2026
- Last updated
- May 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 59654 | FL | Primary |
Addresses
Primary practice location
2506 N Roosevelt Blvd
Key West, FL 33040-3950
Mailing address
1589 Anderson Ave
Fort Lee, NJ 07024-2743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59654 | FL | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1598696247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1589 ANDERSON AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 N ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330403950",
"telephone_number": "305-434-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMAR",
"first_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "FL",
"license": "59654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.