NPIMap

Organization Active NPI

Dr Adam Feder PA

  • Nursing Facility/Intermediate Care Facility
  • Pembroke Pines, FL
National Provider Identifier
1699980789
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
PY6660 Issued in FL
Legal business name
DR ADAM FEDER PA
Practice address
10801 NW 3Rd CT
Pembroke Pines, FL 33026-4010
Phone
(305) 962-0274
NPI assigned
May 11, 2007
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. Adam Feder, PSY.D.NPI 1033107537
Title
President
Phone
(305) 962-0274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X PY6660 FL Primary

Addresses

Primary practice location

10801 NW 3Rd CT
Pembroke Pines, FL 33026-4010

Mailing address

10801 NW 3Rd CT
Pembroke Pines, FL 33026-4010
Phone (305) 962-0274

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1699980789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NW 3RD CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264010",
            "telephone_number": "305-962-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NW 3RD CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264010",
            "telephone_number": "305-962-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ADAM FEDER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-962-0274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "PY6660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.