Dale E Fahie, D.O.F.A.C.O.F.P.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-06925 Issued in FL

Practice address

4600 North Federal Highway
Foy's Medical Center
Fort Lauderdale, FL 33308-5206

Phone

(954) 202-9948

Fax

(954) 202-7399

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

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

Specialty

Family PracticeAlso: Addiction Medicine, General Practice, Infectious Disease, Internal Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• N.a.F.F.I. Inc

  dba Foy's Medical Center

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1073790333
  Medicare reassignment NPD Authorized official
• Broward County

  dba Broward Addiction Recovery Division

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1326171034
  NPD
• Preferred Family Care, Inc

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1780933820
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1619921962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17320 SW 32ND CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295591",
            "telephone_number": "954-202-9948",
            "fax_number": "954-202-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 NORTH FEDERAL HIGHWAY",
            "address_2": "FOY'S MEDICAL CENTER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085206",
            "telephone_number": "954-202-9948",
            "fax_number": "954-202-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIE",
        "first_name": "DALE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.F.A.C.O.F.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-06925",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "OS-6925",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS-6925",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS-6925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.A.F.F.I. DBA FOY'S MEDICAL CENTER",
            "identifier": "1073790333",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251207600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID N.A.F.F.I. INC DBA",
            "identifier": "592115487",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Victoria Fadely, LMT
• Avichai Fagan
• David Michael Fagan, O.D.
• Dana A Fahey, DMD
• Trudi Fahey, M.D.
• Douglas E Faig, M.D.
• Thomas Faillace
• Jordana B Faine-Siadman, MSPT
• Jessica S Fair
• Arlester Fairchild Jr.

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.