Active NPI
Gja Investment LLC
- Surgery Physician
- Davie, FL
National Provider Identifier
1649992777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.