Meena A Jhatakia, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME52920 Issued in FL

Practice address

200 NW 7 Avenue
Fort Lauderdale, FL 33311

Phone

(954) 759-6600

Fax

(954) 759-6665

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1669425260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-759-6600",
            "fax_number": "954-759-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 7 AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-759-6600",
            "fax_number": "954-759-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330605916",
            "country_code": "US",
            "telephone_number": "954-785-4273",
            "fax_number": "954-784-9249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHATAKIA",
        "first_name": "MEENA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME52920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048537300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Judith Jeudy Olotch
• Alexis Jezak, MSN, APRN, FNP-BC
• Sally Jezdimir, M.S., CCC/SLP
• Jfrcounseling, LLC
• JG Physical Therapy Corp
• Hui Fen Jia, CRNA, AP, DOM
• Jidalgo Inc
• Jill M Rubin LCSW
• Aleyda Jimenez Ruano
• Andres Jimenez, M.D.

• Pediatrics Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.