Active NPI
Fausto Innamorati, MD
- Maternal & Fetal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1639214190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- ME74649
- Practice address
- 780 SW 28TH Street
Fort Lauderdale, FL 33315-2643 - Phone
- (954) 467-4822
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | ME74649 | FL | Primary |
Addresses
Primary practice location
780 SW 28TH Street
Fort Lauderdale, FL 33315-2643
Mailing address
780 SW 28TH Street
Medical Administration
Fort Lauderdale, FL 33315-2643
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74649 | FL | MD | Maternal & Fetal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639214190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 SW 28TH STREET",
"address_2": "MEDICAL ADMINISTRATION",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333152643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 SW 28TH STREET",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333152643",
"telephone_number": "954-467-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNAMORATI",
"first_name": "FAUSTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "FL",
"license": "ME74649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- Giuseppe Vittorio Ingrasci, MD
- Ingrid Partenio PHD & Associates PA
- Candida Almonte Iniguez, LMHC
- Inline Chiropractic Group Inc (Inline Health & Wellness)
- Inmotion Health, P.a.
- Innate Healthcare PLLC
- Inner Light Psychotherapy Inc
- Innerwork Counseling and Consultation
- Innovative Psych Solutions, Inc (Innovative Interactive Therapies)
- Innovative Therapy Partners LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.