Organization Active NPI

Gja Investment LLC

  • Surgery Physician
  • Davie, FL
National Provider Identifier
1649992777
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GJA INVESTMENT LLC
Practice address
4241 SW 106TH Ter
Davie, FL 33328-2154
Phone
(954) 251-1869
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Tatyana Charny
Title
Coo
Phone
(818) 304-1628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

4241 SW 106TH Ter
Davie, FL 33328-2154

Mailing address

4241 SW 106TH Ter
Davie, FL 33328-2154

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1649992777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 SW 106TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 SW 106TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282154",
            "telephone_number": "954-251-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJA INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "CHARNY",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-304-1628"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.