Organization Active NPI

Johnson Medical Center

  • General Practice Physician
  • Hollywood, FL
National Provider Identifier
1649334459
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME30129 Issued in FL
Legal business name
JOHNSON MEDICAL CENTER
Practice address
6517 Taft St
Hollywood, FL 33024-4048
Phone
(954) 962-5300
Fax
(954) 962-0100
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mr. Roberto Sosa, M.D.
Title
Physician
Phone
(954) 962-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME30129 FL Primary

Addresses

Primary practice location

6517 Taft St
Hollywood, FL 33024-4048

Mailing address

6517 Taft St
Hollywood, FL 33024-4048
Phone (954) 962-5300

Other names 1

  • Roberto Sosa Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Johnson Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1649334459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244048",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244048",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-962-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME30129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberto Sosa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.