Individual provider Active NPI

Anuj Jayakar, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Miami, FL
National Provider Identifier
1609125905
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME131903 Issued in FL
Practice address
3200 SW 60TH CT Ste 302
Miami, FL 33155-4071
Phone
(305) 662-8330
Fax
(786) 364-6811
NPI assigned
Aug 31, 2012
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME131903 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 302
Miami, FL 33155-4071

Mailing address

3200 SW 60TH CT Ste 302
Miami, FL 33155-4071
Phone (305) 662-8330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111003688 FL Practitioner - Neurology 7517294275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus Children's Pediatric Specialists, LLC CurrentSince Dec 9, 2023 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC CurrentSince Dec 9, 2023 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC Current Accepting new patients

Locations

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

3200 SW 60th Ct
Ste 203
Miami, FL 33155
Phone (305) 662-8380

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/53e6a1e6-ae3a-42a1-b1de-6de5bdf38a06/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1609125905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554071",
            "telephone_number": "305-662-8330",
            "fax_number": "305-663-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554071",
            "telephone_number": "305-662-8330",
            "fax_number": "786-364-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKAR",
        "first_name": "ANUJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME131903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.