Individual provider Active NPI

Jeffrey Scott Araj, MD

  • Diagnostic Radiology Physician
  • Viera, FL
National Provider Identifier
1679549059
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0046351 Issued in FL
Practice address
7000 Spyglass CT
Suite 260
Viera, FL 32940-8288
Phone
(321) 254-7880
Fax
(321) 254-7707
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 81936 SC
Diagnostic Radiology Physician 2085R0202X ME0046351 FL Primary

Addresses

Primary practice location

7000 Spyglass CT
Suite 260
Viera, FL 32940-8288

Mailing address

7000 Spyglass CT
Suite 260
Viera, FL 32940-8288
Phone (321) 254-7880

Other identifiers 2

IdentifierTypeStateIssuer
ME0046351OtherFLMEDICAL LICENSE NUMBER
K4543OtherFLMEDICARE GROUP PIN

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0046351FLMDDiagnostic Radiology Physician
81936SCMDDiagnostic Radiology Physician

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1679549059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT",
            "address_2": "SUITE 260",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408288",
            "telephone_number": "321-254-7880",
            "fax_number": "321-254-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT",
            "address_2": "SUITE 260",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408288",
            "telephone_number": "321-254-7880",
            "fax_number": "321-254-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAJ",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "81936",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0046351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME0046351",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "K4543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.