Active NPI
Daniel Jassir, CCC-SLP
- Speech-Language Pathologist
- Weston, FL
National Provider Identifier
1679109177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6351
- Practice address
- 2950 Cleveland Clinic Blvd
Weston, FL 33331-3625 - Phone
- (954) 659-5784
- Fax
- (954) 659-5787
- NPI assigned
- Mar 16, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA6351 | FL | Primary |
Addresses
Primary practice location
2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Mailing address
17930 NW 19TH Street
Pembroke Pines, FL 33029
Phone (305) 812-2527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820903 | Other | FL | ALL INSURANCES |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1679109177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17930 NW 19TH STREET",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "305-812-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313625",
"telephone_number": "954-659-5784",
"fax_number": "954-659-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASSIR",
"first_name": "DANIEL",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-16",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL INSURANCES",
"identifier": "820903",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.